Thanks for subscribing to daisyNews!
daisyData Show e-Billing WORKS
Jul 22, 2024
daisyData Show e-Billing WORKS

Regular readers know that with painfully inadequate regulatory oversight in California, daisyNews has assumed the duty of highlighting the systemic issues that impede electronic billing and payment in workers’ compensation.

If providers cannot get paid for treating California’s injured workers, they will stop treating these patients. But it’s not all bad news—today, we focus on 2024 e-billing data, showing how beautifully e-billing works (when done correctly).

daisyData shows that despite challenges, hiccups, and setbacks, e-billing drastically speeds up and streamlines billing and payment for the treatment of injured workers. Most importantly, it saves precious time and resources for provider staff, who are spared the excessive work required to mail bills to hundreds of different claims administrators.

Of the nearly 800,000 bills California daisyBill providers sent from January through May this year, over 96% were sent electronically as e-bills—not faxed, emailed, or snail-mailed.

For all California workers’ comp bills daisyBill sent, providers received an Explanation of Review (EOR) in 8.9 days on average.

Do some claims administrators ignore e-billing requirements and abuse providers? Certainly. Does an unbelievably impotent state agency fail spectacularly to govern it all? Absolutely. However, the numbers demonstrate that e-billing technology is working, making treating injured workers more administratively and financially sustainable for providers.

See the detailed data below.

Read More

Most Recent Articles

TX DWC to Providers: Tell Us What You Need
Jul 18, 2024
TX DWC to Providers: Tell Us What You Need
The Texas Division of Workers’ Compensation (TX DWC) states on its website, “We’ve made Texas workers’ comp better for doctors.” In our experience, these are more than...
LA Metro Transit Authority: 12,879 Audit Complaints Filed
Jul 17, 2024
LA Metro Transit Authority: 12,879 Audit Complaints Filed
The Los Angeles County Metropolitan Transit Authority (LA Metro), a public self-insured employer, fails to fulfill one of its most basic (but essential) legal obligations to ...
DWC's Updated IBR Form - F Is for Fail
Jul 16, 2024
DWC's Updated IBR Form - F Is for Fail
California’s Division of Workers’ Compensation (DWC) recently updated Form IBR-1, which providers use to request an Independent Bill Review (IBR)—but did so without publicizi...
daisyBill's New & Improved Website
Jul 15, 2024
daisyBill's New & Improved Website
Check out our new website!Your favorite workers’ comp e-billing software vendor/tireless injured worker advocate has a new home online. The new daisybill.com has all t...
CA: Orthopedist Bill Denial Rates by Claims Admin - Part 3
Jul 12, 2024
CA: Orthopedist Bill Denial Rates by Claims Admin - Part 3
In the firsttwo of this series (read here and here), daisyData from orthopedic surgeon clients highlights how California’s convoluted Medical Provider Ne...
CA: Orthopedist Payment Data by Claims Admin - Part 2
Jul 11, 2024
CA: Orthopedist Payment Data by Claims Admin - Part 2
While all providers who agree to treat injured workers are essential, in this series, daisyBill focuses on orthopedic reimbursement to expose how California’s Medical Provide...
CA: Orthopedists Payment Data - Part 1
Jul 10, 2024
CA: Orthopedists Payment Data - Part 1
Orthopedic providers are vital to workers’ compensation. daisyData reveals that since January 1, 2022, Preferred Provider Organization (PPO) entities have diverted over $18 m...
Sedgwick <> Data Dimensions - Married or Divorced?
Jul 9, 2024
Sedgwick <> Data Dimensions - Married or Divorced?
Sedgwick Claims Management Services, a Third-Party Administrator (TPA), and Data Dimensions, a clearinghouse vendor, may have gotten hitched.Imagine our surprise when ...
Sedgwick Stiffs AME for IBR Filing Fee
Jul 2, 2024
Sedgwick Stiffs AME for IBR Filing Fee
In California, when Independent Bill Review (IBR) overturns a Sedgwick erroneous reimbursement denial, Sedgwick owes the provider $180 (the cost of the f...
CA OMFS Update: Physician Services (Q3 2024)
Jul 1, 2024
CA OMFS Update: Physician Services (Q3 2024)
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 ...
Anthem's THM Network Closes, Stiffs Providers
Jun 28, 2024
Anthem's THM Network Closes, Stiffs Providers
Workers’ comp providers—in particular ancillary providers like physical therapists (PTs)—take note: if you have treated injured workers through Anthem’s Transparent Health Ma...
DWC MPN Meeting Accomplishes Nothing
Jun 27, 2024
DWC MPN Meeting Accomplishes Nothing
Last week, California’s Division of Workers’ Compensation (DWC) held an informal stakeholder meeting to discuss its proposed changes to the regulations governing Medical Prov...