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Second Review
May 30, 2018
3 min read
0
Workers’ Comp Billing Error: Resubmit or Request Second Review Appeal?
Mistakes happen. When a provider accidentally submits an original bill that contains an error, taking the appropriate action is key to avoiding further delay in reimbu...
May 25, 2018
3 min read
0
Data Reveals Importance of Second Review Appeal for Providers
The claims administrator’s Bill Review does not always recommend the correct reimbursement on the first try. Our second review appeal data reveals a staggering amount of reve...
Feb 23, 2018
3 min read
0
VPay Error Impacts Thousands of Sedgwick EORs
VPay, a payment processing company which issues explanation of reviews (EORs) and virtual credit card payments from claims administrators to providers, suffered a technical g...
Feb 15, 2018
5 min read
0
How to Bill for Physician-Dispensed Pharmaceuticals
Payments for physician-dispensed drugs are some of the most misunderstood — and incorrectly denied — in workers’ compensation billing. Too often, the employer or insurer’s cl...
Feb 13, 2018
2 min read
0
Providers: Don't Accept 2017 OMFS Rates for 2018 Dates of Service
Lately, we’ve noticed a problem. Some claims administrators are reimbursing providers incorrectly. Instead of paying the higher 2018 Official Medical Fee Schedule (OMFS), cla...
Feb 7, 2018
4 min read
0
“Automatic” Authorization, but Denied Bill? How to Appeal the Denial
The new “automatic” authorization process for workers’ comp is in effect, as of January 1. We’ve discussed this new system extensively on our blog and in our recent webinar, ...
Oct 19, 2017
3 min read
0
How It Works: Independent Bill Review (IBR)
Think about what workers' comp providers go through to obtain correct payment for treating injured workers. Compliant authorization and billing are taxing enough. Appealing i...
Oct 17, 2017
4 min read
0
The Parity Problem: How Work Comp Favors Insurers Over Providers
In disputes over payment in the California workers’ compensation system, insurers have an unfair advantage over providers. At every stage of the billing process, the b...
Oct 6, 2017
3 min read
0
The Provider’s Burden: Appealing Improper Reimbursements
Workers’ comp billing is hard enough. Four years ago, California passed strict requirements that providers must follow to appeal incorrect reimbursements from insurers...
Sep 15, 2017
2 min read
0
Claims Administrator Rectifies SBR Error
Pacific Claims Management responded to our August blog regarding misinformation about requests for Second Bill Review. DaisyBill spoke with a Pacific representative, with who...
Aug 25, 2017
2 min read
0
Billers Beware! Submit Second Reviews to Appeal Incorrect Payments
Recently a claims administrator gave a DaisyBill client some horrible advice about appealing an incorrect payment. A representative at Pacific Claims Management, a thi...
Jun 1, 2017
3 min read
0
DaisyBill Clients Approach $20 Million in Second Review Revenue
We have some exciting news to share from the world of California workers’ comp billing. Work comp professionals using DaisyBill software are fast approaching a major Second R...
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