Most Recent Articles

The Conco Companies Changes TPA

The Conco Companies is no longer using Athens as its Third Party Administrator (TPA). Effective 4/1/2019, Travelers will be handling all claims for The Conco Companies...

SB 537: Say NO to Medicare Reimbursements

A proposed California bill, though seemingly benign, may establish Medicare rates as a standard for workers’ comp reimbursements, which would be a mistake. The bill, w...

Crum & Forster Switches Bill Review Vendor

According to a notice received from Crum and Forster, the insurer is no longer using Corvel for processing medical bills.Effective 4/24/2019, Conduent will be handling...

Liberty Mutual IBR Noncompliance: Unfair and Odious

After 124 days and 13 phone calls, Liberty Mutual fails to pay a $195 IBR fee ordered by Maximus. Employers need to take heed of this unlawful tale and make sure that ...

DaisyBill at RBMA Conference

If you’re attending the 2019 RBMA conference this week in Colorado Springs, visit us at Booth 204. The annual meeting of the Radiology Business Management Association ...

Updates to California's Guidelines for the Medical Treatment Utilization Schedule (MTUS)

The California Division of Workers’ Compensation (DWC) recently made two important announcements concerning the Medical Treatment Utilization Schedule (MTUS).First, th...

One Beacon Switches Bill Review to Genex

Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.One Beacon employs Jopari as its clearinghouse. Electro...

8 Minute How-To: Multiple Procedure Payment Reduction (MPPR)

This short, free, and super-useful video demystifies Multiple Procedure Payment Reductions (MPPRs) for Physician and Non-Physician Practitioner Services in California.

9 Minute How-To: Geographic Practice Cost Indices (GPCIs)

Confused by the 2019 introduction of Geographic Practice Cost Indices (GPCIs) to Physician Services reimbursements?In just nine minutes you will know the reason Fresno...

SCIF to Correct Payment Errors

California’s State Compensation Insurance Fund (SCIF) stepped up and promised to fix all bills affected by its mistaken use of the 2018 Official Medical Fee Schedule. ...

Second Review Loopholes Hurt Providers

Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review a...

El Super Markets Replaces York Risk Services Group

daisyBill tracks California claims administrators and their respective clients to ensure that electronic bills are consistently routed to the correct payer for processing.