Most Recent Articles

DE: Fee Schedule Increase Brings More Providers Into the System

The Delaware Department of Labor (DE DOL) announced that hundreds of new providers have chosen to start participating in the state’s workers’ comp system, following an increa...

NY Data: Payers Deny CPT 99080 for More Than 50% of e-Bills

New York’s transition to mandatory electronic billing (e-billing) is facing its first snag. State regulators must decisively address this problem now. While New York p...

NYSIF e-EOB Non-Compliance Rises in 2025

The New York State Insurance Fund (NYSIF) is making it harder for providers to treat the state’s injured workers by repeatedly failing to comply with payment requirements for...

Former PPO Employee: "I Felt Like I Was 'Legally' Robbing" Doctors

Prime Health Services (PHS) operates like a high-pressure "call center," pushing employees to sign providers onto reimbursement discount contracts by making promises t...

CA Med-Legal: Do Not Review Records Without Proper Declaration & Attestation

A warning for California doctors conducting Medical-Legal evaluations: Do not review medical records where the parties failed to deliver those records in accordance with stat...

CA: No Authorization Required for Med-Legal Diagnostic Tests

California providers: You do not need authorization to conduct diagnostic testing as part of a Medical-Legal evaluation. And yes, the claims administrator is responsib...

CO Reminder: Mandatory e-Billing Is Weeks Away

In less than two months, Colorado providers must submit all bills for the treatment of injured workers electronically (aka, e-billing). On January 1, 2026, Code of Col...

PA: First Responders May File Comp Claims for Trauma

As of October 30, 2025, Pennsylvania first responders may file a workers’ compensation claim for post-traumatic stress injuries (PTSI’s) that result from certain qualifying e...

Billing Alert: CA State Fund Drops TPA

Attention California providers: Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is no longer handling workers’ comp claims for employees of t...

CA State Fund Profits Exposes WCIRB's Manufactured Crisis

According to the Workers’ Compensation Insurance Rating Bureau (WCIRB), California workers’ comp insurers are caught in a death spiral of underwriting losses. However,...

Dept. of Labor: e-Billing Gets OK Practice Rapid Payment

Despite all the administrative challenges, treating injured workers can be low-hassle and financially beneficial for practices. All it takes is the right e-billing technology...

How daisyBill Automates Workers’ Comp Fee Schedule Enforcement and Second Review Appeals

Workers’ compensation underpayments are not outliers. They are systematic, predictable, and too often unchallenged.For medical providers, the problem is not identifyin...