Blog: DaisyBill News

Watch the second installment in DaisyBill’s free educational video series on workers’ compensation billing.

This short video explains the different ways that an employer can handle its responsibility for paying for workers’ comp bills.

Last year, for facility bills submitted through DaisyBill payment was received, on average, in 17 days for the top 20 California workers’ comp claims administrators.

Unfortunately, that average exceeds the mandated maximum allowed for bills submitted electronically.

DaisyBill’s electronic billing software allows us to comprehensively compile data on every bill we process.

DaisyBill is all about making workers’ comp billing easier and more understandable. To that end, we launched a new video series aimed at mastering the ins and outs of this confusing billing process.

Each free six-minute (or less!) video is designed to turbocharge your billing.

We are again chronicling the reimbursement pandemonium inflicted on providers by the current California Second Review appeal and Independent Bill Review (IBR) processes.

This time we report on how California’s State Compensation Insurance Fund (SCIF) incorrectly disputed compliant IBRs filed by a doctor who challenged the incorrectly denied Second Review appeals the provider had previously sent to SCIF.

Last year, more than 107,000 interpreter and copy service bills were processed by DaisyBill. The top 20 claims administrators took an average of 10 business days to process these bills.

DaisyBill’s electronic billing software allows us to track detailed statistics on payments and denials, including speediness of payment amounts. 

Last week, we opened Pandora’s box on co-surgeons and team surgery. Notably left in the box was a discussion on assistant(s) at surgery. Typically this arises when physicians or non-physician practitioners assist during a procedure, but don’t perform any surgery.

To qualify for reimbursement, the California regulations are more ambiguous and require more documentation than required for co-surgeons and team surgery.

Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpayment of 2019 workers’ comp medical bills.

We identified these four claims administrators in our series of articles alerting readers to the incorrect underpayments of bills for 2019 dates of service (DOS) in California. These claims administrators non-compliantly reimbursed providers by using the lower-paying 2018 fee schedule.

This underpayment “error” resulted in many, many thousands of underpaid Physician Services bills.

In 2018, for California medical-legal bills submitted using DaisyBill software, the average processing time is 13 business days to receive payment for the top 20 claims administrators by volume. Last week, we published the data for medical treatment bills, which were processed even faster, in just 11 days.

Listed by volume of processed bills from January 1 through December 31, 2018, the statistics below reflect payment speed -- the average number of business days between the electronic submission of a medical-legal bill and receipt of the explanation of review (EOR) -- for the 20 top claims administrators.