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CA: The Corruption Under Newsom’s Nose
Dec 4, 2025
CA: The Corruption Under Newsom’s Nose
California Governor Gavin Newsom has never been charged with (or even credibly accused of) any serious crime. However, the presidential hopeful may have a serious blind spot ...
MARS & MultiPlan Threaten MD With “Intervention” (Part 2)
Dec 3, 2025
MARS & MultiPlan Threaten MD With “Intervention” (Part 2)
As daisyNews reported yesterday, a California doctor received an unsolicited "agreement" from Medical Audit & Review Solutions (MARS) pressuring the doctor to accept steep pa...
MARS & MultiPlan Threaten MD With "Intervention" (Part 1)
Dec 2, 2025
MARS & MultiPlan Threaten MD With "Intervention" (Part 1)
A California doctor sent a bill to a Third-Party Administrator (TPA), for treatment the TPA had authorized. In response, the doctor received a fax from Medical Audit & Review...
DE: Fee Schedule Increase Brings More Providers Into the System
Dec 1, 2025
DE: Fee Schedule Increase Brings More Providers Into the System
The Delaware Department of Labor (DE DOL) announced that hundreds of new providers have chosen to start participating in the state’s workers’ comp system, following an increa...
NY Data: Payers Deny CPT 99080 for More Than 50% of e-Bills
Nov 21, 2025
NY Data: Payers Deny CPT 99080 for More Than 50% of e-Bills
New York’s transition to mandatory electronic billing (e-billing) is facing its first snag. State regulators must decisively address this problem now. While New York p...
NYSIF e-EOB Non-Compliance Rises in 2025
Nov 20, 2025
NYSIF e-EOB Non-Compliance Rises in 2025
The New York State Insurance Fund (NYSIF) is making it harder for providers to treat the state’s injured workers by repeatedly failing to comply with payment requirements for...
Former PPO Employee: "I Felt Like I Was 'Legally' Robbing" Doctors
Nov 19, 2025
Former PPO Employee: "I Felt Like I Was 'Legally' Robbing" Doctors
Prime Health Services (PHS) operates like a high-pressure "call center," pushing employees to sign providers onto reimbursement discount contracts by making promises t...
CA Med-Legal: Do Not Review Records Without Proper Declaration & Attestation
Nov 18, 2025
CA Med-Legal: Do Not Review Records Without Proper Declaration & Attestation
A warning for California doctors conducting Medical-Legal evaluations: Do not review medical records where the parties failed to deliver those records in accordance with stat...
CA: No Authorization Required for Med-Legal Diagnostic Tests
Nov 17, 2025
CA: No Authorization Required for Med-Legal Diagnostic Tests
California providers: You do not need authorization to conduct diagnostic testing as part of a Medical-Legal evaluation. And yes, the claims administrator is responsib...
CO Reminder: Mandatory e-Billing Is Weeks Away
Nov 14, 2025
CO Reminder: Mandatory e-Billing Is Weeks Away
In less than two months, Colorado providers must submit all bills for the treatment of injured workers electronically (aka, e-billing). On January 1, 2026, Code of Col...
PA: First Responders May File Comp Claims for Trauma
Nov 13, 2025
PA: First Responders May File Comp Claims for Trauma
As of October 30, 2025, Pennsylvania first responders may file a workers’ compensation claim for post-traumatic stress injuries (PTSI’s) that result from certain qualifying e...
Billing Alert: CA State Fund Drops TPA
Nov 12, 2025
Billing Alert: CA State Fund Drops TPA
Attention California providers: Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is no longer handling workers’ comp claims for employees of t...