Most Recent Articles
Claims Admin Profiles: Let Us Know
Apr 21, 2022
Claims Admin Profiles: Let Us Know
Together, we’re stronger. That’s the mantra that drives daisyBill’s efforts to share information and resources that make workers’ comp billing more manageable for prov...
ESIS Continues to Refuse Payment for Med-Legal Evaluations
Apr 21, 2022
ESIS Continues to Refuse Payment for Med-Legal Evaluations
Third-party claims administrator (TPA) ESIS systematically refuses to pay bills for Medical-Legal services. Full stop. Below, we list 9 Medical-Legal bills — some more...
Med-Legal IBR: Maximus Denies Documented Interpreter Reimbursement
Apr 19, 2022
Med-Legal IBR: Maximus Denies Documented Interpreter Reimbursement
In a perfect example of California’s failing Independent Bill Review (IBR) process, Maximus (California’s designated IBR organization) abandoned all semblance of lawfulness a...
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Apr 18, 2022
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Berkshire Hathaway Homestate Companies (BHHC) is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers...
Berkshire Hathaway Ignores CA e-Billing Mandate
Apr 17, 2022
Berkshire Hathaway Ignores CA e-Billing Mandate
Berkshire Hathaway Homestate Companies (BHHC) consistently fails to comply with basic workers’ comp electronic billing mandates. In that failure, BHHC undermines the purpose ...
AmTrust: Serious Violation of CA e-Billing Law
Apr 15, 2022
AmTrust: Serious Violation of CA e-Billing Law
AmTrust North America refuses to comply with the most basic workers’ comp electronic billing mandates. In that refusal, AmTrust completely undermines the purpose of workers’ ...
AmTrust: 31,514 Audit Complaints Submitted
Apr 13, 2022
AmTrust: 31,514 Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
CA OMFS Update: Pathology & Clinical Laboratory
Apr 10, 2022
CA OMFS Update: Pathology & Clinical Laboratory
On March 30, 2022, the California Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Sched...
CA OMFS Update: Outpatient/ASC
Apr 10, 2022
CA OMFS Update: Outpatient/ASC
California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...
CA Med-Legal: How to Appeal Unpaid AME Modifier -94
Apr 7, 2022
CA Med-Legal: How to Appeal Unpaid AME Modifier -94
Regularly, California workers’ comp claims administrators incorrectly deny Medical-Legal Fee Schedule (MLFS) modifier -94 for Agreed Medical Evaluator (AME) services. In this...
Claims Admin Directory: Average Days to Pay Explored
Apr 6, 2022
Claims Admin Directory: Average Days to Pay Explored
Perhaps the biggest challenge facing workers’ comp providers in California and across the US: getting paid on time. Inconsistent cash flow can back up accounts receiva...
How to e-Bill: 835 Electronic EORs
Apr 6, 2022
How to e-Bill: 835 Electronic EORs
California law mandates that when a provider bills electronically for workers’ comp services, the claims administrator must timely send the provider an electronic Explanation...