Most Recent Articles

Gallagher Bassett Sinks Second Review Appeals

For California workers’ comp providers, we encourage submitting Second Review appeals when the claims administrator incorrectly adjusts or denies payment. Below we sho...

Sedgwick Fails the University of California

Today we are focusing on a self-insured employer, the University of California, and its third-party administrator, Sedgwick. Unfortunately, Sedgwick is not complying with Cal...

WorkPartners: How a San Diego Practice Shines While Navigating Covid-19 Challenges

At DaisyBill, we’re filled with admiration at how practices continue to deliver quality care under challenging and changing circumstances. We interviewed one of our great Cal...

AmTrust - IBR Hall of Shame

Below, we document the flouting of workers’ compensation law by AmTrust North America (AmTrust), and its continued refusal to reimburse a provider despite being ordered to do...

Clearinghouse Error - WorkCompEDI Misdirects Bills

Recently, one of the six clearinghouses hired by claims administrators to accept electronic workers’ comp bills suffered a technical error which resulted in the clearinghouse...

Beta Healthcare Group: How to Obtain Bill Status Updates

Recently DaisyBill erroneously re-published an old post regarding an issue with Alpha Fund (now known as Beta Healthcare Group) and LWP Claims Solution. In this previous 2015...

Audio-Only Telehealth Now Permitted in CA - Part 3

This is the third of our series on retroactive telehealth rule changes announced by the California Department of Workers’ Compensation (DWC) on 5/12/2020. Today we focus on t...

CA: Substantial Telehealth Reimbursement Increase for Workers' Comp - Part 2

This is the second of our series on retroactive telehealth rule changes announced by the California Department of Workers’ Compensation (DWC) on 5/12/2020. Today we focus on ...

California Retroactively Changes Telehealth Reimbursement - Part 1

On 5/7/2020 the California Division of Workers’ Comp (DWC) Administrative Director, George P. Parisotto, issued a new Order with retroactive changes to the reimbursement calc...

Medicare Releases REVISED Telehealth Rules - Part 2

This is part two of our series analyzing telehealth reimbursement rule changes that were announced last week by the Centers for Medicare & Medicaid Services (aka “CMS'' or “M...

Medicare Releases REVISED Telehealth Rules - Part 1

Last week the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) significantly changed its telehealth reimbursement rules to adjust to the demands of the COVI...

OMFS: DWC Orders Further Pathology/Clinical Lab Adjustments

California’s Division of Workers Compensation (DWC) ordered further adjustments to the Pathology and Clinical Laboratory Section of the state’s Official Medical Fee Schedule ...