Most Recent Articles

CPT 99072 for Extra Time and Supplies for COVID-19

Medical practices, including practices that treat injured or sick workers, have implemented numerous changes to safely treat patients in person during the COVID-19 pandemic. ...

Broadspire Employers: Audit Complaint Filed With DWC

In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...

DaisyBill Automates Zurich Second Review Appeals

DaisyBill recently broke the story (after receiving multiple reports from the DaisyBill community and beyond) that Zurich has improperly denied California providers’ bills fo...

Telehealth: CMS Medicare Adds 11 New Telehealth Services

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...

When Zurich Speaks, Garbled Noncompliance Comes Out

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

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

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

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

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

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

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

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...