CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019
Jul 9, 2019
On July 8, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule ...
Magna Carta - Bills Not Processed
Jul 8, 2019
Providers, be aware that Magna Carta Companies (formerly PSM) ended its relationship with its bill review service, CorVel. More importantly, Magna Carta is not responding to ...
Claims Admins Deny Second Review Appeals as Duplicate Bills
Jul 2, 2019
Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...
Virginia Workers' Comp Enters New Century
Jun 27, 2019
The Virginia Workers' Compensation Commission (VWCC), in its hundredth year of operation, will enter the 21st century as of next week. Effective July 1, 2019, the VWCC...
CA Physician MUE Reimbursement Change as of 7/1/2019
Jun 25, 2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician Practit...
Download Our CA Injured Worker Intake Form [New and Updated]
Jun 20, 2019
Easy workers’ comp billing starts with a thorough intake process.California’s Division of Workers’ Compensation (DWC) has strict billing and payment guidelines. For pr...
CA Physician Reimbursements INCREASE as of 7/1/2019
Jun 19, 2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician ...
CA Payors Put the Squeeze on Providers (Again)
Jun 13, 2019
In California, box 1a of the CMS 1500 billing form is for the injured worker’s Social Security Number (SSN). When the claims administrator insists the provider populate box 1...
Pro Tip: Submit RFAs During Liability Disputes
Jun 6, 2019
When the employer and injured worker are locked in an injury liability dispute, the provider is frequently caught in the crossfire. Often, treatment cannot wait for the long ...
Ultrasound Documentation: Images NOT Required
May 30, 2019
At DaisyBill, our clients ask us for help when claims administrators improperly deny reimbursement. Recently, our clients have reported that some claims administrators are de...
Let's Make This Clear: Workers' Comp Is Not Medicare
May 29, 2019
A recent post by Joe Paduda perpetuates the common but incorrect practice of analogizing workers’ comp to Medicare. In his discussion, Paduda notes that Medicare pays much le...
Recent ICD-10 Updates Do Not Apply to Workers' Comp Billing
May 23, 2019
The latest in dubious denial strategies for California workers’ comp: some claims administrators are denying provider bills for being out of step with updates to the current ...