Blog: DaisyBill News

News, data, & insights about workers' comp billing

Benihana AND Broadspire Join IBR Hall of Shame

Feb 26, 2020

In this entry in the IBR Hall of Shame, we surface still another example of a workers’ comp claims administrator clearly not understanding, or not complying with, and/or just being incompetent about, the rules for paying providers.

As we’ve pointed out before, payers face no consequences when they fail to follow IBR rules. So our latest perpetrators, Broadspire and Benihana, join legions of other insurance companies and claims administrators, and the employers they supposedly serve, that break payment rules with impunity.

California

5 min read

Benihana AND Broadspire Join IBR Hall of Shame

Feb 26, 2020

In this entry in the IBR Hall of Shame, we surface still another example of a workers’ comp claims administrator clearly not understanding, or not complying with, and/or just...

3 Workers' Comp Authorization Myths, Debunked

Feb 18, 2020

Providers who treat injured workers have one simple, reasonable request: correct reimbursement. In helping providers to obtain correct reimbursement, we answer a daily...

Sedgwick Erroneously Rejects Provider Bills

Feb 13, 2020

Workers’ comp providers, be aware: insurer Sedgwick has recently incorrectly rejected multiple bills on erroneous grounds, necessitating that time and resources be spent inve...

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California (443) claims administrators Billing Education News Updates Fee Schedule OMFS e-Billing Second Review RFA Electronic Billing Liens

New York (5) CMS 1500 Billing Education Electronic Billing e-Billing

CA State Report: QMEs Deserve Better From DWC

Feb 12, 2020

A report from a California State Auditor found much to be desired regarding the Division of Workers' Compensation (DWC)'s handling of Qualified Medical Evaluators.Elai...

California-Specific Codes - 2020 Reimbursement Updates

Feb 6, 2020

Attention California providers -- in 2020 reimbursements increased for all California-specific workers’ comp codes!In the Physician Fee Schedule, these state-specific ...

CPTs 99358 & 99359 - 2020 CA Reimbursement Cheat Sheet

Feb 5, 2020

More good news! In 2020 California workers’ comp reimbursements increased for CPT Codes 99358 and 99359.Below, we’ve compiled a handy reimbursement cheat sheet ...

Alert: DWC Retroactively Updates CA OMFS

Feb 3, 2020

Last Thursday, January 30, 2020, the California Division of Workers’ Comp (DWC) released a retroactive change to the 2020 Physician Fee Schedule. Announced in Newsline #2020-...

Sedgwick – IBR Hall of Shame

Jan 17, 2020

All too often, insurance companies and claims administrators find unfair ways to deny, delay, and otherwise wiggle out of paying the workers’ compensation reimbursements that...

2020 CA Workers’ Comp Evaluation & Management Cheat Sheet

Jan 13, 2020

Hooray! In 2020 reimbursements increased across the board for Evaluation & Management (E&M) codes!Below we’ve compiled a nifty reimbursement cheat sheet for the seven ...

STRONG WARNING! Travelers Refuses to Pay Provider

Dec 5, 2019

We advise providers to think carefully before treating injured workers covered by Travelers. Below, we summarize the nightmarish run-around that an MPN provider experienced w...

CA Interpreters: No Second Review = No Payment

Dec 2, 2019

Providers — interpreters in particular — be advised: a California appeals court ruled that claims administrator Meadowbrook Insurance is not required to pay a disputed fee fo...

Sally Beauty Holdings: Changes TPA and Claim Numbers

Nov 26, 2019

Sally Beauty Holdings no longer uses CorVel as its third-party administrator (TPA).Effective November 15, 2019, Broadspire administers all claims for Sally Beauty Hold...