Free Webinar! 2020 CA OMFS Part 2: Changes to Physician, ASC, and Pathology Fee Schedules

Blog: DaisyBill News

News, data, & insights about workers' comp billing

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Hanover –> What the H*llover is Going On?

Nov 21, 2019

We have yet another tale of a payer flagrantly ignoring its duty to compliantly process provider bills for treatment of injured workers. This account of payer friction highli...

CPT 99358 - Maximus Correctly Rules in Favor of Provider (Hurray!)

Nov 18, 2019

In the past, DaisyBill has reported on many, many problems with Maximus Independent Bill Review (IBR) decisions for CPT code 99358. Today, we happily report that Maximus is n...

City of Los Angeles Neglects Its Duty

Nov 14, 2019

The City of Los Angeles (LA) is a self-insured, self-administered employer. This means that the city assumes all of the responsibilities of a claims administrator to complian...

Markel First/Midwest EORs Leave Providers in the Dark

Nov 12, 2019

Electronic Explanations of Review (EORs) from Markel First and Midwest Insurance are missing crucial pieces of information. Key required elements like patient names and Socia...

Liberty Mutual Sued by Employer

Nov 6, 2019

According to a federal lawsuit filed in October, Liberty Mutual Insurance may be playing its workers’ comp cards a little too close to the chest.The lawsuit, Valley Co...

Convoluted Coding: Applied Underwriters Tries to Shortchange Provider

Nov 4, 2019

For anyone concerned by the lack of providers willing to treat injured workers, the following dark tale perfectly illustrates the reason so many providers flee workers’ comp....

Bill Review Highlight: Definiti Healthcare Management

Nov 3, 2019

Over the last several years, providers have sent over 5.2 million workers’ comp bills from DaisyBill. These millions of bills allow DaisyBill to directly witness the manageme...

Maximus & DWC Drop Ball on IBR Eligibility

Oct 22, 2019

California workers’ comp billing and payment regulations are a minefield of complications. That said, some rules are fairly simple, and should be immutable. For exampl...

York EORs Create Revenue Management Headaches

Oct 17, 2019

York Insurance has repeatedly reported incorrect payment amounts in recent Final Explanations of Review (EORs), which are issued in response to second review appeals. These F...

Farmers Insurance Switches Bill Review

Oct 16, 2019

Effective October 14, Farmers Insurance switched bill review services, from CorVel to Mitchell.This change affects bills for all dates of service. Claim numbers remain...

SB 537: California RFA and Utilization Review Data

Oct 15, 2019

Last week Gavin Newsom, who serves as Governor of California, signed SB 537 into law, thereby adding a new section 138.8 to the Labor Code. This new §138.8 requires the Depar...

CA OMFS: Physician Services Fee Schedule Update Effective 10/1/2019

Oct 15, 2019

A new order from the Administrative Director of California’s Division of Workers’ Compensation (DWC) updates the Physician and Non-Physician Practitioner Services portion of ...

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