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AmeriTrust: IBR Hall of Shame
Apr 10, 2024
AmeriTrust: IBR Hall of Shame
Can claims administrators defy California law, make up their own proprietary payment rules, and refuse to reimburse providers who treat injured workers correctly? The answer ...
DWC Proposes Cutting Physician Dispensing Fees
Apr 9, 2024
DWC Proposes Cutting Physician Dispensing Fees
In February, California’s Division of Workers’ Compensation (DWC) proposed changes to the Official Medical Fee Schedule (OMFS) for workers’ comp.While there are a slew...
Gallagher Bassett Claims Not to Accept e-Bills
Apr 8, 2024
Gallagher Bassett Claims Not to Accept e-Bills
In California and other states, claims administrators are required by law to accept electronic bills for the treatment of injured workers. Yet providers repeatedly report to ...
CA Med-Legal: $93M+ for Record Review in 2023
Apr 4, 2024
CA Med-Legal: $93M+ for Record Review in 2023
With attorneys dumping tens of millions of pages of medical records on California Medical-Legal evaluators annually, daisyBill physicians conducted over $93 million worth of ...
CA: 2024 Physician Fee Schedule 2.75% Increase Explained
Apr 3, 2024
CA: 2024 Physician Fee Schedule 2.75% Increase Explained
Have trouble keeping up with California’s multiple fee schedule updates this year? It’s not just you. As reported earlier this week, effective for all dates of service...
CA UR: AmTrust & Genex Deny Care With ODG (Again)
Apr 2, 2024
CA UR: AmTrust & Genex Deny Care With ODG (Again)
What suffering must befall injured workers before California bothers to enforce its meager Utilization Review (UR) requirements?When considering which treatments are n...
2024 CA Physician Fee Schedule Increases TODAY
Apr 1, 2024
2024 CA Physician Fee Schedule Increases TODAY
California’s Division of Workers’ Compensation (DWC) issued an update increasing reimbursements for the Physician and Non-Physician Practitioner portion of the Official Medic...
Change Cyberattack Delays Payment of San Francisco Bills
Mar 29, 2024
Change Cyberattack Delays Payment of San Francisco Bills
The fallout from the cyberattack on Change Healthcare continues to reach new corners of the national healthcare system, including workers' compensation. ...
WCIRB: By Insurers, For Insurers
Mar 28, 2024
WCIRB: By Insurers, For Insurers
The Workers’ Compensation Insurance Ratings Bureau (WCIRB) is one of the most influential organizations guiding the decisions of legislators, regulators, and other stakeholde...
P2P Clearinghouse Erroneously Shares Patient Info
Mar 27, 2024
P2P Clearinghouse Erroneously Shares Patient Info
P2P, a workers’ comp clearinghouse, erroneously sent daisyBill ‘277 Acknowledgements’ confirming receipt of a practice’s e-bills — however, the practice is not a daisyBill cl...
Second Review: CA Providers Recovered $21M in 2023
Mar 26, 2024
Second Review: CA Providers Recovered $21M in 2023
The 2023 data are in — California daisyBill providers collectively recovered over $21 million by submitting Second Review appeals to dispute incorrect reimbursement denials o...
Clearinghouse: Data Dimensions Clients' e-EOR Problem
Mar 25, 2024
Clearinghouse: Data Dimensions Clients' e-EOR Problem
With the receipt of electronic Explanations of Review (e-EORs), providers realize the full benefits of workers’ comp e-billing. e-EORs furnish payment data that automatically...