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Most Recent Articles
Apr 5, 2022
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Broadspire’s Confusing, Erroneous Letters to Providers
In a classic case of the left hand not knowing what the right is doing, Broadspire processed and paid providers’ e-bills, then subsequently, Broadspire sent those prov...
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Claims Admin Directory - New Free Resource!
Knowledge is power, and sunshine is the best disinfectant. Nowhere are these principles more true than in workers’ compensation, where for too long a convoluted, opaqu...
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The RIMS 2022 RiskWorld Annual Conference and Exhibition is just around the corner — and daisyBill will be there!From April 10 to 13, conference attendees can swing by...
Mar 31, 2022
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Farmers Insurance: Winning "IBR Chicken”
California workers’ comp technically offers an appeals process for providers to dispute incorrect reimbursements. However, this appeals process actually encourages claims adm...
Mar 30, 2022
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2022 CA OMFS Update: Physician Fee Schedule
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Mar 29, 2022
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ESIS Unpaid Medical-Legal Bills
Alert: ESIS has failed to pay at least 7 bills for workers’ comp Medical-Legal services, despite acknowledging receipt of the bills in question. Further, attempting to...
Mar 28, 2022
1 min read
2022 CA OMFS Update: DMEPOS
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
Mar 23, 2022
3 min read
CA How-To: Get Penalty & Interest Paid
When a bill is not paid, doctors often ask, “What about penalties and interest?” In California workers’ comp, penalty and interest payments are — in theory at least — ...
Mar 22, 2022
3 min read
PPO: No Provider Recourse for Unnamed Discounts
In California workers’ comp, the appeals process for disputing improper Preferred Provider Organization (PPO) reductions has a serious flaw.Routinely, Explanations of ...
Mar 21, 2022
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CA Workers' Comp: Appeals Rigged to Profit Payers
When a claims administrator incorrectly reimburses a California workers’ comp provider, the mandated process for the provider to dispute the error (or purposeful theft) is co...
Mar 17, 2022
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How to e-Bill: Clearinghouse/Payer IDs Are Key to Quick Payment
Regularly, we hear from providers (who are not daisyBill clients) reporting that electronic billing simply does not work. However, daisyBill data — from our millions of quic...
Mar 16, 2022
4 min read
How to Identify PPO Reductions (Part I)
Daily, we hear from workers’ comp providers requesting help with identifying whether Pilfering Provider Organizations (aka: PPOs) are hijacking the funds intended to pay for ...
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