Blog: DaisyNews

Workers' Comp News, Data, and Insights

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Berkshire Hathaway Homestate Companies Switches Clearinghouse

Jul 20, 2021

Effective July 23, 2021, Berkshire Hathaway Homestate Companies (BHHC) switches its EDI clearinghouse, from Jopari to Carisk. The change will affect all bills sent electronic...

Disneyland Replaces Bill Review Vendor

Jul 19, 2021

Effective June 21, 2021, Disneyland Resorts switched its bill review vendor from Conduent to Rising Medical Solutions.The change affects all bills for all dates of ser...

Sedgwick Violates LACoFD Employer Contract, IBR Drops Ball

Jul 15, 2021

A physician agreed to serve as Independent Medical Examiner (IME) for the Labor Management Committee (LMC) representing the Los Angeles County Fire Department (LACoFD) and Lo...

CA Workers' Comp Q&A Highlights

Jul 13, 2021

We asked our readers to submit their most vital California workers’ comp questions for a live Q&A webinar. They did not disappoint!If you missed it, below is a brief r...

Sedgwick Denies Second Review Appeals as "Duplicates"

Jul 12, 2021

Sedgwick has a Second Review problem.On too many occasions, Sedgwick incorrectly denies providers’ Second Review appeals as “duplicate submissions” of the original bil...

ML106: Liberty Mutual Must Learn the Rules

Jul 9, 2021

California’s all-new Medical-Legal Fee Schedule (MLFS) debuted back in April, but some claims administrators are still a few steps behind. To bill for supplemental Med...

IBR Hall of Shame: Sedgwick Sets New Standard of Noncompliance

Jul 6, 2021

Sedgwick failed to comply with an Independent Bill Review (IBR) ruling for almost four months. Worse, the payor’s brazenness is likely to go unpenalized by the state.T...

OMFS Update: 59 Codes Newly Billable

Jul 5, 2021

California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...

SB 537 Reveals Murky World of Discount Contracts

Jun 30, 2021

In 2019, California passed Senate Bill 537. Among the changes to take effect on July 1st is a disclosure mandate requiring discount contracting entities to disclose to the pa...

Med-Legal Bill Denied for Liability? Request IBR

Jun 29, 2021

Certain California workers’ comp payers deny reimbursement for Medical-Legal evaluations by claiming lack of liability for the initial injury. With this twisted, circular log...

CA DWC Lets SCIF Skirt IBR for Incorrect GPCI

Jun 28, 2021

In a baffling decision, the California Division of Workers’ Compensation (DWC) declared a straightforward billing dispute ineligible for Independent Bill Review (IBR) — despi...

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