Most Recent Articles

AmTrust/Genex Use ODG to Deny Pre-Op Clearance
Mar 22, 2024
AmTrust/Genex Use ODG to Deny Pre-Op Clearance
California law instructs physicians and claims administrators to consult the Medical Treatment Utilization Schedule (MTUS), adopted from the American College of Occupational ...
Gallagher Bassett Finds Lockheed Martin Claims
Mar 21, 2024
Gallagher Bassett Finds Lockheed Martin Claims
Workers’ comp providers can now submit bills to Gallagher Bassett for treatment furnished to Lockheed Martin's injured employees. Previously, daisyNews reported that L...
Duplicate Workers' Comp e-Bills: It's Time to Stop
Mar 20, 2024
Duplicate Workers' Comp e-Bills: It's Time to Stop
When workers’ comp e-billing technology works properly, sending a duplicate e-bill is rare — not routine.If your practice’s workers’ comp e-bills are getting lost or r...
CHSWC Reports Use Questionable WCIRB Data
Mar 18, 2024
CHSWC Reports Use Questionable WCIRB Data
Employers are entitled to know precisely how their workers’ comp dollars are spent — which requires reliable, verifiable data.Traditionally, California stakeholders ha...
Change Cyberattack: Availity to Return Providers' Bills
Mar 15, 2024
Change Cyberattack: Availity to Return Providers' Bills
Following the recent cyberattack on Change Healthcare, Availity, a national Revenue Cycle Management (RCM) and Electronic Data Interchange (EDI) clearinghouse vendor, has “te...
Payment Data: CA Med-Legal Bills Paid in < 10 Days
Mar 14, 2024
Payment Data: CA Med-Legal Bills Paid in < 10 Days
How quickly are you being paid for Medical-Legal evaluations? If it takes more than two weeks, it’s time for a change.Many physician evaluators use Medical-Legal manag...
CA: Lockheed Martin Fails to Pay for Injured Employees
Mar 13, 2024
CA: Lockheed Martin Fails to Pay for Injured Employees
Currently, California providers do not have a clear way to obtain reimbursement for treatment furnished to injured employees of aerospace and defense company Lockheed Martin....
daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
Mar 12, 2024
daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
It may be a new year, but it’s the same ol’ Sedgwick. However, the California Division of Workers’ Compensation (DWC) has indicated it may take a different (and hopefu...
EAMS: An Open Letter to the CA Assembly Budget Subcommittee
Mar 11, 2024
EAMS: An Open Letter to the CA Assembly Budget Subcommittee
The California Department of Industrial Relations (DIR) asked the State Assembly Budget Subcommittee on State Administration for an additional $22 million to update its Elect...
Change Cyberattack: The Dangers of Using A Single Clearinghouse
Mar 8, 2024
Change Cyberattack: The Dangers of Using A Single Clearinghouse
Change Healthcare, perhaps the largest electronic billing clearinghouse for private insurers in the nation, is reeling from the historic cyberattack that has crippled ...
e-Billing: Unstoppable Delivery of Workers' Comp Bills
Mar 6, 2024
e-Billing: Unstoppable Delivery of Workers' Comp Bills
The days of hoping a workers’ comp e-bill will make it to the payer are over. Too often, providers receive notification that their e-bills were rejected by the payer o...
PPOs Undermine CA Physician Fee Schedule Increase
Mar 5, 2024
PPOs Undermine CA Physician Fee Schedule Increase
California’s Division of Workers’ Compensation (DWC) increased reimbursement rates under the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sche...