Blog: Daisy News

News, data, & insights about workers' comp billing

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  • November 21, 2017

    Why Work Comp Providers Need Specialized RCM

    Workers’ compensation is different.

    It’s a labyrinth of legal and procedural twists, turns, and obstacles that don’t plague providers in other areas of medicine. When it comes to billing and payment, there’s no way around it: providers need help. If financial success is the goal, wading into workers’ comp without specialized Revenue Cycle Management (RCM) is like going into a blizzard with a raincoat; technically possible, but woefully inadequate.

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  • November 17, 2017

    Overpaid? Providers Under No Obligation to Return Payment to Claims Admin

    When an employer or insurer’s claims administrator incorrectly overpays a workers’ comp bill, the provider is under no legal obligation to return the payment. This issue came up due to incorrect payments per the ASC/Outpatient Fee Schedule. Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening providers.

    In these situations, it’s important for all parties to be clear on the rules. California Labor Code does not require the restitution of mistakenly paid reimbursements.

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  • November 16, 2017

    5 Strategies to Prevent Denied Work Comp Bills

    California does not make it easy for work comp providers to get paid. The time and effort necessary to obtain proper reimbursement is an unfortunate reality of a system weighed against providers’ interests. But all is not hopeless. Work comp providers can ensure correct, timely payment for the treatment of injured workers.

    They just need to know how.

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  • November 15, 2017

    Coding Clinic: How to Bill for Evaluation & Management Services

    As the Centers for Medicare and Medicaid Services (CMS) like to say, “If it is not documented, it has not been done.” Of course, documenting can be just as painstaking as the doing, especially in workers’ comp. Sometimes — as in the case of Evaluation and Management (E/M) services — the documentation is frightfully complicated, making billing even more of a hassle than usual.

    E/M services billing requires providers to select the correct billing codes for the level of services rendered. Determining which level can be tricky. Fortunately, there’s a guide for that.

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  • October 20, 2017

    Discount Dangers: Specialty Networks Are the Barnacles of Work Comp

    Discount Dangers is a DaisyBill series on the various ways discount contracts cheat workers’ comp providers out of reimbursement. With this series, we shine a light on the worst discount practices and help providers fight back.

    Specialty networks aim to lower costs by organizing discount rates on medical services and products. But at what cost to providers? By placing themselves between providers and insurers, these networks add a middleperson — and a layer of unnecessary friction —  to an already convoluted billing and payment process.

    Specialty networks are like barnacles on a ship; they create drag on the entire workers’ comp system, slowing it down at the provider’s expense.

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  • October 3, 2017

    DaisyBillaroo Conference on Workers’ Comp Billing and Payment a Smash!

    We had a fantastic time hosting our very first DaisyBillaroo Conference, the only conference devoted exclusively to California workers’ comp billing and payment. What a blast! With work comp professionals from every area of the field in attendance, we made work comp a little less intimidating for everyone.

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  • September 8, 2017

    Clearinghouse Makes False Claims About E-Billing

    Multiple providers allege that a major clearinghouse fed them inaccurate information about electronic billing in California. According to these providers, the clearinghouse in question insists that many claims administrators do not accept e-billing for worker’s comp, necessitating paper bills. In truth, every major claims administrator in California does, in fact, accept e-bills.

    This casts serious suspicion on the clearinghouse’s motives.

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  • September 7, 2017

    New Patient Intake Form Available

    A well-crafted intake form, targeted to the California Division of Workers’ Compensation (DWC)’s billing guidelines, is the provider’s first line of defense against incorrect reimbursement. According to the DWC, a bill must be one thing above all to be considered compliant: complete. For providers, ensuring that completeness starts at intake.

    Fortunately, DaisyBill has that covered.

    Read more →

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DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

Drop us a line with any news you would like us to share or any issue that concerns you.

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