Blog: Daisy News

News, data, & insights about workers' comp billing

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  • August 29, 2017

    The Provider's Bill of Rights (Rights I and II)

    Discount Dangers is a DaisyBill series on the various ways discount contracts incorrectly reduce providers’ reimbursements. With this series, we shine a light on the worst discount practices, and help providers fight back.

    Providers have rights.

    We can’t state this strongly enough. In so many ways, the California workers’ compensation system is rigged against providers. That’s why it’s vital for providers to know exactly how the law protects them from unfair treatment and improper reimbursement. This is particularly crucial when it comes to discount contracts, which are often abused in ways that are more than just unfair; they’re also non-compliant.

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  • August 18, 2017

    Discount Dangers, Part I: The Silent PPO

    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.

    There’s a danger lurking in Preferred Provider Organization (PPO) discount contracts: the “silent” PPO.

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  • July 14, 2017

    Align Networks Changes Name, Introduces New Payment System

    Would Align by any other name smell any sweeter? Align Networks is now known as One Call Physical Therapy, picking up a new moniker and logo as part of a rebranding effort. The move comes at an interesting time for the company – Align, of course, received notoriety this year for their role as the defendant in a bombshell lawsuit filed by the Independent Physical Therapists of California (iPTCA). What’s more, a deeper investigation revealed that their name isn’t the only thing that’s changing – the company now known as One Call Physical Therapy will also adopt a new payment system, ECHO Health, as of August 1.

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  • June 28, 2017

    Combat Discount Contract Reimbursements

    Many California work comp providers believe that signing discount contracts is the only way to participate in a network. While that’s not actually true, most providers still sign these discount contracts for workers’ comp services. At the very least, providers are unrelentingly approached about signing such contracts. A word to the wise: While tempting at first, discount contracts rarely provide additional new patients, usually reduce revenue, and can be nearly impossible for billing staff to manage and track.

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  • June 9, 2017

    Align Networks Contract Reveals Source of Surprise Discounts

    Last month in this space, we analyzed a few of the potential pitfalls of signing a discount contract with Align Networks. Align has been subject to controversy lately – first, with its questionable instruction to prematurely bill unadopted Medicare codes, and then again when the Independent Physical Therapists of California (iPTCA) took them to court alleging fraudulent and illegal behavior. Today, we take a closer look at an Align discount contract and explain why its discounted payment is applicable even when Align does not refer the patient for treatment.

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  • May 12, 2017

    Lost in the Fax: An Align Networks Contract Investigation

    When news broke of the Independent Physical Therapists of California (iPTCA) lawsuit against Align Networks, we were hesitant to judge, but quick to point out that we weren’t exactly surprised. Over the last several years, we saw dozens of complaints about Align Networks from providers the state over. Then again, we receive support cases from clients asking for help with network payment problems every week. At that kind of volume, and in a field so stunningly complex, it’s difficult to readily identify trends. Were the complaints we received about Align Networks the signal? Or were they just noise? A discount Align contract available on the iPTCA website appears to help answer those questions.

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  • February 2, 2016

    Work Comp Discount Contracts, Pt 1: What You Don’t Know Can Cost You

    Workers' Comp Discount Contracts

    If you’re a provider, chances are you’ve signed a discount contract for worker’s comp services or you’ve been approached about signing one. These contracts are tempting, because they allow a provider to participate in a network in exchange for accepting lower fees.

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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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