daisyNews
Workers' Comp Guides, Updates, and Insights
Thanks for subscribing to daisyNews!
Most Recent Articles
Nov 30, 2023
Alert: Sedgwick's Phantom Payment Reductions
Recently, Sedgwick Claims Management Services reduced a daisyBill doctor’s payments to 25% below the amount allowed by the California Physician Fee Schedule. To justify the r...
Nov 29, 2023
How To Get Rejected Workers' Comp e-Bills Paid
Electronic billing works beautifully for workers’ comp. Providers get paid much faster, and without the hassle of mailing bills for the treatment of injured workers.Ho...
Nov 27, 2023
Stop Faxing! Send Supporting Documents With e-Bills
Provider FYI: If you’re paying an electronic billing vendor, but still using a fax machine (or even worse, a mailbox) to send supporting medical documents, you’...
Nov 21, 2023
CA Interpreters, Submit Those Second Bill Reviews!
Many providers of interpreter services in California are forgoing their legal right to correct reimbursement, potentially leaving large amounts of revenue on the table. Becau...
Nov 17, 2023
Paradigm Network: Medicare Cuts Impact Workers' Comp Reimbursements
At first glance, recently announced Medicare payment reductions may seem to have little to do with workers’ comp. But thanks to discount reimbursement contracts, Medicare cut...
Nov 16, 2023
Data: Medicare and CA Physician Fee Schedule 2014-2023
Treating California’s injured workers is much, much more costly in terms of time and administrative resources than treating Medicare patients. And, most California providers ...
Nov 15, 2023
Reader Response: CA Physician Fee Schedule vs Medicare Rates
Make no mistake: 2024 cuts to Medicare reimbursement rates will affect reimbursement rates for treating injured workers — but only for providers under discount reimbursement ...
Nov 14, 2023
Provider Alert: MTI Discount "Contract"
A daisyBill client received a disturbing authorization document to treat an injured City and County of San Francisco (CCSF) employee. MTI America, a self-described “in...
Nov 13, 2023
Prime Health PPO: 2024 Medicare Cuts May Decrease Workers' Comp Reimbursement
The Centers for Medicare and Medicaid Services (CMS) announced it will cut reimbursement rates for physician services in 2024 by 3.4%.This Medicare reimbursemen...
Nov 9, 2023
Gallagher Bassett Flips UR Decision, Confusion Reigns
To an injured worker denied the care their treating physician deems necessary, California’s Utilization Review (UR) process can seem arbitrary, even cruel. This percep...
.gif)
Nov 8, 2023
Sedgwick's UR Obstacle Course Delays Care
Welcome to California workers’ comp, where the law requires two doctors to do the job of one:A treating physician to heal the injured worker A Utilization Revie...
Nov 7, 2023
e-Billing 'Webinette' Replay & Slides Available!
How does e-billing software get workers’ comp bills and documents to the payer? How fast can a practice get paid with e-billing? What the heck does a clearinghouse do, and wh...