Blog: DaisyBill News

After 124 days and 13 phone calls, Liberty Mutual fails to pay a $195 IBR fee ordered by Maximus.

Employers need to take heed of this unlawful tale and make sure that Liberty Mutual’s dismissive treatment of a single provider is not indicative of how Liberty Mutual treats, or mistreats, injured workers.

The painful details described below fit into a pattern that should be troubling to every stakeholder.

If you’re attending the 2019 RBMA conference this week in Colorado Springs, visit us at Booth 204.

The annual meeting of the Radiology Business Management Association starts on Sunday, April 14 and ends on Wednesday, April 17.

Whether you’re a current client or just curious about what we do, stop by, say hi, and let’s talk about workers’ comp!

The California Division of Workers’ Compensation (DWC) recently made two important announcements concerning the Medical Treatment Utilization Schedule (MTUS).

First, the DWC announced that medical providers will have free access to evidence-based medical guidelines. The second covers updates to several sections of the MTUS.

Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.

One Beacon employs Jopari as its clearinghouse. Electronic bills are sent to Jopari using Payer ID 20621.

For bills sent by mail, reference the information contained on the website: One Beacon: Medical Billing Addresses By State.

This short, free, and super-useful video demystifies Multiple Procedure Payment Reductions (MPPRs) for Physician and Non-Physician Practitioner Services in California.

In just eight minutes, you’ll know how to apply MPPRs for two or more workers’ comp procedures performed on the same day.

Confused by the 2019 introduction of Geographic Practice Cost Indices (GPCIs) to Physician Services reimbursements?

In just nine minutes you will know the reason Fresno providers are reimbursed less than San Francisco providers. View our GPCI video below or click this link.

California’s State Compensation Insurance Fund (SCIF) stepped up and promised to fix all bills affected by its mistaken use of the 2018 Official Medical Fee Schedule.

The SCIF reprocessing, which will benefit both DaisyBill clients and non-clients alike, seems to stem directly from DaisyBill’s advocacy efforts.

Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review appeals.

Last year, to dispute an incorrect reimbursement or denied payment, DaisyBill clients submitted more than 123,400 Second Review appeals.