RFA

Albertsons Employee's Post-Amputation UR Nightmare
Jan 9, 2024
Albertsons Employee's Post-Amputation UR Nightmare
Two days before Christmas in 2022, an Albertsons Companies employee suffered “traumatic amputations” of three toes in a work accident. This worker lived alone on the t...
daisyNews: 2023 Top 10 Articles
Jan 8, 2024
daisyNews: 2023 Top 10 Articles
In 2023, daisyNews tackled the stories, trends, and issues that had the biggest impact on providers who treat injured workers. Below, we share the 10 most-read articles of th...
SCIF Inept UR #7: Truly Unbelievable Incompetence
Oct 3, 2023
SCIF Inept UR #7: Truly Unbelievable Incompetence
Employees, taxpayers, and moral human beings should be outraged by Utilization Review (UR) abuse inflicted on a state employee by the State Compensation Insurance Fund (SCIF)...
SCIF Inept UR #5: EK Health Ignores MTUS, Denies Surgery
Sep 27, 2023
SCIF Inept UR #5: EK Health Ignores MTUS, Denies Surgery
Why is it so difficult to get treatment for a work-related injury? At least in California, most of the answer is a broken UR system that allows insurers to withhold potential...
SCIF Inept UR #4: IMR Rules Favor Insurers
Sep 15, 2023
SCIF Inept UR #4: IMR Rules Favor Insurers
In recent articles, we’ve shared the details of State Compensation Insurance Fund (SCIF)’s denial of continued care for an injured worker on false grounds, and ...
SCIF Inept UR #2: Bungled Medical Records Strikes Again
Sep 12, 2023
SCIF Inept UR #2: Bungled Medical Records Strikes Again
Once again, the consequences of inept Utilization Review (UR) fall on an injured worker.EK Health, conducting UR on behalf of State Compensation I...
UR: An Open Letter to CA Residents
Sep 11, 2023
UR: An Open Letter to CA Residents
Dear California Readers,One of your neighbors experienced a significant head injury while repairing California highways. This individual has diminished cognitive abili...
SCIF: Inept Utilization Review Delays Care for Injured Worker
Sep 6, 2023
SCIF: Inept Utilization Review Delays Care for Injured Worker
We write often about the systemic issues surrounding Utilization Review (UR) in California and the constant struggle of providers to obtain authorization to tre...
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Jun 20, 2023
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Recently, the Medical Director of a large medical group sent an email to daisyBill, explaining their decision to "opt out" of treating injured workers in California. T...
5 Ways the RFA System Burdens Providers
Jun 7, 2023
5 Ways the RFA System Burdens Providers
In California, injured workers’ access to care depends directly on how physicians manage the state’s onerous authorization and Utilization Review (UR) requirements.
Missing UR Decisions (and Other RFA Problems) Solved
Jun 6, 2023
Missing UR Decisions (and Other RFA Problems) Solved
If your practice treats injured workers, you can’t get reimbursed without proof of authorization. Fortunately, California makes submitting Requests for Authorization (...
RFA: The Easy Way to Manage UR Decisions
May 22, 2023
RFA: The Easy Way to Manage UR Decisions
So many injuries. So many Requests for Authorization (RFAs). So many Utilization Review (UR) decisions to keep track of — and only so much time in a day.Rest easy, pro...