Blog: Daisy News

News, data, & insights about workers' comp billing

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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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  • February 3, 2017

    Missed Connections: Indirect Routing of Workers’ Comp e-Bills

    Today, we continue our multi-part examination of compliant e-billing for California workers’ comp bills. We kicked off the series with a primer, before diving into electronic EORs and EDI agent responsibilities. Now we turn to another issue that plagues providers across the state. When we speak to providers about the complexity of the workers’ comp e-billing system, a common error stands out: indirect routing of electronic bills.

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  • January 31, 2017

    EDI Agent Responsibilities in California Workers’ Comp

    Over the past several weeks, we’ve taken a close look at various aspects of compliant e-billing for California workers’ compensation bills. Today, we turn our focus to the role of EDI agents such as DaisyBill. EDI agents are a crucial cog in workers’ comp billing – providers and claims administrators are not equipped to generate and receive the various electronic files that underpin the e-billing system. Choosing a good EDI agent – and knowing their responsibilities – is crucial to billing success.

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  • January 27, 2017

    Electronic EORs for Workers’ Comp: Timing and Compliance

    This month, we’ve placed an emphasis on analyzing and explaining the vagaries of electronic billing for California workers’ compensation medical bills. The state’s Division of Workers’ Compensation (DWC) requires that providers who choose to submit electronic bills and all claims administrators follow the electronic billing rules set out in its 65-page Electronic Billing and Payment Companion Guide. To be clear, these rules are not optional. Yet some claims administrators demonstrate habitual non-compliance. Today, we zero in on the failure to return an electronic Explanation of Review (EOR).

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  • January 19, 2017

    The Seven Reasons for Rejected Workers’ Comp e-Bills

    Last week in this space, we published an introductory primer on compliant workers’ compensation e-billing. Since its introduction in 2012, electronic billing has consistently offered providers a fast, efficient, and reliable avenue for processing their workers’ comp bills. This week, we examine rejected e-bills – why this happens, what it means, and how rejections actually benefit the workers’ comp system.

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  • December 16, 2016

    Four Year Flubs – Some Claims Administrators Still Reject e-Billing

    Let’s start with some old news: Since October 2012, California claims administrators must accept electronic billing for workers’ compensation bills. Fast-forward four years, and most claims administrators complied. Some even thrived. Others, however, still struggle with habitual non-compliance.

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  • November 29, 2016

    Submit Me, Baby, One More Time: Second Review Payment Data

    Have you heard? We’re coming up on a major milestone. In a matter of days, DaisyBill clients will reach $15,000,000 in additional revenue generated from Second Reviews (SBRs) alone. As more and more DaisyBillers submit their bills for Second Review, we’re collectively clearing $1,000,000 every month.

    To celebrate reaching that nice, round number, we took a look at the top claims administrators by volume of electronic Second Reviews for medical treatment bills submitted in the first three quarters of 2016.

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  • November 22, 2016

    Claims Administrator Days to Payment Q1 – Q3

    So you’ve filled out all the required fields in DaisyBill and clicked ‘submit’ on your bill. End of story? Not a chance.

    For us, that’s just the beginning.

    From the moment you click ‘submit,’ our software works overtime to collect payment amounts, payer activity, submission types, code counts, denial reasons, and more.

    The result? A really, really big spreadsheet. And in that spreadsheet? Some truly spectacular Claims Administrator days-to-payment data.

    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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