Data: Drastic PPO Discounts Revealed
Sep 13, 2021
It’s time to reveal what’s really harming injured workers in California. Starting today, DaisyBill will publicize the reduced reimbursement rates foisted on our provid...
AIG: Improper (but Logical) Med-Legal Underpayment
Aug 25, 2021
AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who ...
ESIS Fails to Pay IBR Fee on Behalf of ABM Industries
Aug 23, 2021
Ask yourself — what happens if you’re a year late paying a bill?Your credit score tanks? Your car is repossessed? Your home foreclosed on? In most walks of life...
CA Cheat Sheet: Required Reports & Supporting Documentation for Workers' Comp Bills
Aug 19, 2021
In California, when submitting a bill for treating an injured worker, it’s imperative to include the correct documentation to support the treatment. If the provider fails to ...
Med-Legal Diagnostic Testing Is Reimbursable
Aug 19, 2021
FAQ: Is diagnostic testing, as part of a Medical-Legal evaluation, separately reimbursable?A: Yes, as long as the testing is necessary to complete the evaluation.
Med-Legal: PPO Discounts Do NOT Apply to MLFS
Aug 17, 2021
Preferred Provider Organization (PPO) and other network discounts do not apply to the Medical-Legal Fee Schedule (MLFS). Period.In other words, the MLFS and OMFS are c...
WorkCompEDI Acquired by Data Dimensions
Aug 16, 2021
WorkCompEDI (WCEDI) has a new owner. The clearinghouse, which processes millions of provider electronic bills annually, was acquired by Data Dimensions, an automation ...
Med-Legal ML106: IBRs Leave No Doubt
Aug 12, 2021
If it wasn’t clear before, it certainly is now. Physicians should bill for supplemental Medical-Legal reports requested before April 1, 2021 with billing code ML106, regardle...
Sedgwick: Sketchy EOR Math for LA Unified School District
Aug 11, 2021
Sedgwick recently returned an Explanation of Review (EOR) that failed to fulfill a crucial requirement: showing how Sedgwick actually calculated the reimbursement amount paid...
City of Pasadena: CompIQ Saves the Day
Aug 10, 2021
Following a switch to a new third-party claims administrator (TPA), the City of Pasadena violated California law by suddenly failing to accept electronic bills for the treatm...
2021 Telehealth Billing Guide for CA Workers' Comp
Aug 9, 2021
With COVID-19 hardly in the rearview mirror just yet, California workers’ comp providers can still utilize telehealth as a safer alternative to in-person treatment. But of co...
Disneyland Churns Out Incorrect e-Bill Rejections
Aug 5, 2021
Providers billing Disneyland Resorts, be warned: your electronic bills might be erroneously rejected.Recently, we reported on Disneyland Resorts’ switching its bill re...