Most Recent Articles
SCIF Stiffs Doc by Paying AFTER Request for IBR
Jul 12, 2022
SCIF Stiffs Doc by Paying AFTER Request for IBR
In a classically underhanded move, California’s State Compensation Insurance Fund (SCIF) twice denied payment for the authorized treatment of an injured worker, but then sudd...
Audit Complaints: 18,160 Filed for SCIF Non-Compliance
Jul 11, 2022
Audit Complaints: 18,160 Filed for SCIF Non-Compliance
Using data generated by over 48,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
DWC Posts 2022 Q3 DMEPOS Adjustment
Jun 30, 2022
DWC Posts 2022 Q3 DMEPOS Adjustment
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
DWC Adopts New Telehealth Code List
Jun 30, 2022
DWC Adopts New Telehealth Code List
On June 17, 2022, the Centers for Medicare and Medicaid Services (CMS) released revisions to the list of Medicare Physician Fee Schedule Telehealth Codes, adding six n...
2022 Q3 CA OMFS Update: Physician Fee Schedule
Jun 30, 2022
2022 Q3 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 ...
NYS: CMS-1500 & Electronic EORs Commence July 1
Jun 30, 2022
NYS: CMS-1500 & Electronic EORs Commence July 1
New York State is taking a major step forward in the transition to workers’ comp electronic billing. Commencing Friday, July 1, 2022, providers must submit all medical...
American Claims Management Asserts NYS e-Billing 'Loophole'
Jun 30, 2022
American Claims Management Asserts NYS e-Billing 'Loophole'
As New York State makes the (praiseworthy) transition to electronic billing for workers’ comp, some confusion regarding the technical requirements is inevitable. Case ...
Audit Complaint: Sedgwick 16,261 Noncompliant Second Review Responses
Jun 28, 2022
Audit Complaint: Sedgwick 16,261 Noncompliant Second Review Responses
Using data generated by tens of thousands of electronic bills sent by our provider clients, daisyBill has demonstrated consistent non-compliance with California e-billing reg...
Data: Sedgwick Fails to Process 16,261 Second Review Appeals
Jun 28, 2022
Data: Sedgwick Fails to Process 16,261 Second Review Appeals
Third-Party Administrator (TPA) Sedgwick Claims Management Services consistently ignores California workers’ comp requirements for properly responding to Second Review appeal...
Sedgwick Asserts CA "Loosened" Appeal Process
Jun 28, 2022
Sedgwick Asserts CA "Loosened" Appeal Process
California workers' comp is — supposedly — governed by laws, enacted by the state legislature, and carried out by the Division of Workers’ Compensation (DWC). For disputes ov...
Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted
Jun 23, 2022
Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Jun 23, 2022
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...