Telehealth: CMS Medicare Adds 11 New Telehealth Services
Oct 21, 2020
Effective 10/14/2020, the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) added 11 new services to the List of Telehealth Services that Medicare will reimb...
DaisyBill Automates Zurich Second Review Appeals
Oct 21, 2020
DaisyBill recently broke the story (after receiving multiple reports from the DaisyBill community and beyond) that Zurich has improperly denied California providers’ bills fo...
When Zurich Speaks, Garbled Noncompliance Comes Out
Oct 20, 2020
We are writing about Zurich again, as the claims administrator’s conduct continues to be a symptom of the deep unfairness that permeates California’s workers’ comp system. Th...
Zurich: Triples Down on Foul Play
Oct 15, 2020
Clearly Zurich fears no recourse as it continues to systematically ignore rules while stripping California providers of proper reimbursement. In this latest development, Zuri...
CA OMFS: Physician Services Fee Schedule Update Effective 10/1/2020
Oct 14, 2020
A new order from the Administrative Director of California’s Division of Workers’ Compensation (DWC) updates the Physician and Non-Physician Practitioner Services portion of ...
WorkCompEDI: Clearinghouse Fails Claims Administrators
Oct 12, 2020
On Friday, DaisyBill took the unusual step of directly contacting dozens of California claims administrators. We wanted to enlist these organizations’ assistance to resolve a...
Dept of Labor Billing Utopia: e-Bills Processed in ONE Day
Oct 8, 2020
The new U.S. Department of Labor (DOL) electronic billing system is workers’ comp e-billing utopia. Earlier this year, the DOL replaced its designated clearinghouse wi...
Gallagher Bassett: Audit Complaint Filed With DWC
Oct 7, 2020
In a previous article, we demonstrated how Gallagher Bassett ignores the California-mandated workers’ comp Official Medical Fee Schedule (OMFS). Gallagher Bassett also ignore...
Broadspire Defies CA Law and Denies Appeals Sent by Providers
Oct 6, 2020
Broadspire, A Crawford Company, is another example of a claims administrator that disregards California regulations with impunity. After accepting a compliant and time...
Zurich: CORRECT Appeal Instructions for Zurich Denials
Oct 5, 2020
Today, we explain the COMPLIANT protocol for California providers to dispute the noncompliant denials that Zurich recently issued, and that were based on its completely nonco...
Zurich Further Jeopardizes Providers' Payment With Incorrect Appeal Instructions
Oct 2, 2020
Even when there is potential payer fraud, California requires the provider -- not the payer -- to shoulder the burden of correcting claims administrator “mistakes.” For the t...