Most Recent Articles

Alpha Fund & LWP Claims Solutions No Longer Accept Phone Calls to Check Bill Status
Jul 31, 2015
Alpha Fund & LWP Claims Solutions No Longer Accept Phone Calls to Check Bill Status
One of our great DaisyBillers let us know that Alpha Fund and LWP Claims Solutions no longer allow providers to check bill status by phone. Instead, providers must fax Alpha ...
Workflow for Second Bill Reviews for Work Comp
Jul 22, 2015
Workflow for Second Bill Reviews for Work Comp
Last week we gave a webinar on Second Bill Reviews (SBRs) for workers’ comp. We covered both the correct way to submit SBRs (for providers) and the compliant way to process S...
Work Comp Confusion: Interpreting 5307.11 Contracts
Jul 8, 2015
Work Comp Confusion: Interpreting 5307.11 Contracts
We get a lot of questions about 5307.11 contracts for workers’ compensation. In a nutshell, 5307.11 contracts allow providers and claims administrators to contract for reimbu...
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Jun 3, 2015
Questions and Answers about RFAs for Workers' Compensation
Today’s questions and answers come from our webinar on Requests for Authorization (RFAs). Why do we have so many webinars on RFAs? Because successful RFAs guarantee payment a...
Mastering Work Comp: CPT 99358, Conversion Factors, & Tips
May 18, 2015
Mastering Work Comp: CPT 99358, Conversion Factors, & Tips
Today I continue to answer questions from our recent webinar about the March 1st changes to the Physician fee schedule.
ProPublica and NPR Say That Workers' Compensation Is Broken
Apr 21, 2015
ProPublica and NPR Say That Workers' Compensation Is Broken
Last month ProPublica and NPR launched a joint investigative series about the state of workers’ compensation, unleashing a firestorm of debate and controversy. The art...
Say Hello to Us at COA Next Week!
Apr 15, 2015
Say Hello to Us at COA Next Week!
Meet us at the annual meeting of the California Orthopaedic Association! It's going to be from April 23-26 at the Esmeralda Resort & Spa in the Palm Springs area.
Blazing Fast Averages for the Biggest Claims Administrators
Apr 8, 2015
Blazing Fast Averages for the Biggest Claims Administrators
Workers’ compensation medical bills are getting paid fast. The latest data spans the period from 10/1/2014 to 3/31/2015, which includes the traditionally slower holiday seaso...
Some Claims Administrators Continue to Pay at Old Fee Schedule Rates
Mar 31, 2015
Some Claims Administrators Continue to Pay at Old Fee Schedule Rates
On March 1st the new Physician OMFS for California workers’ comp took effect. daisyBill’s data indicates some claims administrators continue to reimburse bills ...
WCAB RFA Cases and Why They Matter, Part II
Mar 16, 2015
WCAB RFA Cases and Why They Matter, Part II
In my last post I set out why I’m so enthusiastic about Requests for Authorization (RFAs). For those of you who want more detail, I’m going to summarize the act...
More on Reduced Filing Fees for Workers' Comp IBR and IMR
Feb 27, 2015
More on Reduced Filing Fees for Workers' Comp IBR and IMR
Yesterday I posted about recent Independent Medical Review (IMR) and Independent Bill Review (IBR) fee reductions, effective January 1, 2015. I’m following up o...
DWC Reduces Filing Fees for Work Comp IBRs and IMRs
Feb 26, 2015
DWC Reduces Filing Fees for Work Comp IBRs and IMRs
The Division of Workers’ Compensation (DWC) just reduced fees for Independent Bill Reviews (IBRs) and Independent Medical Reviews (IMRs), effective January 1. The DWC ...