Blog: DaisyNews

Workers' Comp News, Data, and Insights


Sedgwick Defies DWC COVID Rules; DWC Washes Hands

Jun 4, 2021

Sedgwick defied California workers’ comp regulations, costing a provider thousands in due reimbursement. Unfortunately, the Division of Workers’ Compensation (DWC) has declin...

MPNs: The Jekyll and Hyde of Workers' Comp

May 20, 2021

We’ve argued that MPNs are mostly a drag on the workers’ compensation system. But as some employers demonstrate, they don’t have to be.When employers use MPNs to maint...

Anthem: PPO Discounts Result in Payments BELOW Medicare

May 19, 2021

Q:  How much can a workers’ comp provider lose by signing a Preferred Provider Organization (PPO) agreement?A:  Much, much more than the provider probably realizes.

How to Win Med-Legal Payment Disputes

May 17, 2021

In light of the all-new Medical-Legal Fee Schedule (MLFS) for California workers’ comp, we debuted a new tool to help providers. Our MLFS “Report Cards” analyze...

Download: Med-Legal Graphic Workflow (With Modifiers)

May 13, 2021

Effective April 1, 2021, the Division of Workers’ Compensation adopted an all-new Medical-Legal Fee Schedule, complete with new billing codes and modifiers. Like many things ...

CNA Repeatedly Ignores California Law

May 12, 2021

By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...

Anthem/SCIF: MPN Kickback Scheme?

May 11, 2021

Healthcare software firm CareCloud recently agreed to a $3.8 million settlement, in part to resolve allegations that it traded unlawful payments for referrals, in violation o...

Athens Must Stop Taking Unnamed PPO Discounts

May 5, 2021

As advocates for a fair and just workers’ comp system, we here at DaisyBill feel compelled to remind insurer Athens Administrators of an important fact about California worke...

CCSF Stands Up On Behalf of Providers

May 4, 2021

Many payers delegate bill review to an outside entity, trusting the bill review vendor to properly reimburse providers. But when a provider disputes a denial or adjustment, i...

Prime Health: Unsigned Contract Tale Continues

May 3, 2021

Almost immediately after DaisyBill called out Prime Health Services (PHS) for questionable PPO practices, it was clear we struck a nerve. PHS attorneys sent DaisyBill a ‘plea...

Introducing: CA Med-Legal Fee Schedule Report Cards

Apr 29, 2021

At DaisyBill, we strive to help providers and their staff navigate the complexities of workers’ comp billing and payment, to ensure proper reimbursement. To that end, we’re d...

California MPNs: Camouflage for Discounts and Denials

Apr 27, 2021

Medical Provider Networks (MPNs) are under fire — as they should be.Far too often, Calforina claims administrators (aka ‘payers’) use MPNs — and providers’ unfamiliari...

Search results for: