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ESIS: 10 Audit Complaints Filed With CA DWC
Aug 11, 2022
ESIS: 10 Audit Complaints Filed With CA DWC
California law requires claims administrators to send an Explanation of Review (EOR) and payment to the physician within 60 days of receiving a bill for Medical-Legal service...
Athens: 5,985 Audit Complaints Filed with CA DWC
Aug 11, 2022
Athens: 5,985 Audit Complaints Filed with CA DWC
Using data generated by over 18,000 bills sent by our provider clients in 2022 to Athens Administrators, daisyBill demonstrates consistent non-compliance with California e-bi...
Provider Alert: Athens Fails to Accept e-Bills
Aug 11, 2022
Provider Alert: Athens Fails to Accept e-Bills
Athens Administrators, a Third-Party Administrator (TPA), is out of compliance with California workers’ comp law.California law mandates claims administrators must acc...
City of LA Claims Administrator Guide
Aug 4, 2022
City of LA Claims Administrator Guide
The City of Los Angeles is a public-sector self-insured employer. As such, billing for the treatment of its injured workers can be complicated. For injured worker claims, the...
(Free, Transparent) CA Med-Legal Fee Schedule Data
Aug 4, 2022
(Free, Transparent) CA Med-Legal Fee Schedule Data
As the California Workers’ Compensation Institute (CWCI) peddles paid access to its insurer-derived data and white-tie webinars, daisyBill would like to offer an update on th...
NYS: CMS-1500 Field 19 Requirements
Aug 4, 2022
NYS: CMS-1500 Field 19 Requirements
With the CMS-1500 form mandatory in New York State for all workers’ comp bills, providers may need guidance on how to complete the CMS-1500 correctly to ensure payment. While...
Tristar: 8,271 Audit Complaints Filed With CA DWC
Aug 4, 2022
Tristar: 8,271 Audit Complaints Filed With CA DWC
Using data generated by over 23,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
Tristar Rejects e-Bills: A Provider Alert
Aug 4, 2022
Tristar Rejects e-Bills: A Provider Alert
Tristar Risk Management, a Third-Party Administrator (TPA), chooses not to adhere to California workers’ comp law.California law mandates that claims administrators mu...
NYS e-Billing Guide: CMS-1500 & XML Submissions
Aug 4, 2022
NYS e-Billing Guide: CMS-1500 & XML Submissions
As of July 1, 2022 the New York State Workers’ Compensation Board (WCB) requires providers to use the CMS-1500 form to submit bills for the treatment of injured workers. Addi...
Dept. of Labor Proves California Workers' Comp Is a Farce
Aug 2, 2022
Dept. of Labor Proves California Workers' Comp Is a Farce
Sometimes, it can feel like the California workers’ comp reimbursement process is a cruel joke perpetrated on the providers willing to treat injured workers. Other times, we ...
SCIF: Med-Legal IBR Chicken Champion
Jul 27, 2022
SCIF: Med-Legal IBR Chicken Champion
Welcome to another round of IBR Chicken, where California claims administrators (falsely) deny payment for the treatment of injured workers for implausible reasons — and keep...
CA DWC Updates MPN List
Jul 27, 2022
CA DWC Updates MPN List
The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs). The DWC added five new MPNs to the list, and cha...