SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers
Aug 16, 2019
The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...
Select Staffing: Changes TPA and Claim Numbers
Aug 15, 2019
Attention California providers: Select Staffing no longer uses CorVel as its Third-Party Administrator (TPA).Effective July 1, 2019, Broadspire administers all claims ...
NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional
Aug 8, 2019
As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...
Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman
Aug 5, 2019
A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...
Berkshire Hathaway Fails to Process Second Review Appeals
Aug 1, 2019
Berkshire Hathaway Homestate Companies (BHHC) is failing to process electronic second review appeals, leaving providers in an unacceptable payment limbo. The insurer incorrec...
CorVel Crash: Security Breach Leads to System-Wide Shutdown
Jul 31, 2019
A security incident led workers’ comp claims administrator CorVel to shut down systems nationwide last week, prompting credible rumors of a ransomware attack. As of th...
Downloadable NY Injured Worker Intake Form
Jul 30, 2019
One of the best ways to make workers’ comp billing a little easier? Start with a bulletproof intake process. As New York State transitions to faster, more efficient el...
Costco, Home Depot, & Other Employers Should Be Mad as HEL*
Jul 29, 2019
Recently a provider shared a letter, apparently meant to intimidate, that it received from a Liberty Mutual Network Specialist, Peter Spalding. The letter threatened to kick ...
Mitchell Unresolved EOR Mess
Jul 17, 2019
A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...
TPA Change Alert: LA County Switches Claims Administrators
Jul 11, 2019
Effective July 1, 2019, the County of Los Angeles is no longer utilizing third-party claims administrator (TPA) TriStar Risk Management. Claims are transferred to eith...
CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/ 2019
Jul 10, 2019
In Newsline No.: 2019-53, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...