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Jun 3, 2015
Questions and Answers about RFAs for Workers' Compensation
Today’s questions and answers come from our webinar on Requests for Authorization (RFAs). Why do we have so many webinars on RFAs? Because successful RFAs guarantee payment a...
Authorization: 6 Qualifying Conditions for Fast-track Automatic Authorization
Jan 5, 2018
Authorization: 6 Qualifying Conditions for Fast-track Automatic Authorization
On January 1, 2018, the new “fast-track” automatic authorization takes effect. In certain cases, some providers will be able to provide treatment without first submitting a R...
3DCA Decision Places Emphasis on RFA Timelines
Mar 31, 2017
3DCA Decision Places Emphasis on RFA Timelines
On Wednesday afternoon, the California 3DCA, or Third District Court of Appeal, issued a ruling in the Ramirez v. Workers’ Compensation Appeals Board case. This is an interes...
Authorization 2018: New Billing and RFA Deadlines
Jan 12, 2018
Authorization 2018: New Billing and RFA Deadlines
The new “fast-track” automatic authorization process took effect on January 1, 2018. Under certain circumstances, some providers may provide “automatically” authorized treatm...
DWC Proposes Even More Onerous RFA Requirements for Providers
Jan 9, 2015
DWC Proposes Even More Onerous RFA Requirements for Providers
More work for less money, that’s the continuing story of workers’ comp treatment
Billing Tip: Know Where to Send RFAs
Apr 4, 2017
Billing Tip: Know Where to Send RFAs
The first thing we tell a provider when they ask for workers’ compensation billing tips? Always, always, always submit a Request for Authorization (RFA) for the recommended t...
RAND Wants Less Paperwork, More Reimbursement for CA Workers’ Comp Providers
Jul 26, 2018
RAND Wants Less Paperwork, More Reimbursement for CA Workers’ Comp Providers
The RAND Corporation thinks California workers’ comp providers are spending too much time on redundant paperwork — and getting too little compensation in return. The s...
UR & RFA: Still Important for Work Comp
Oct 9, 2014
UR & RFA: Still Important for Work Comp
I read about a recent Workers’ Compensation Appeals Board ruling about utilization review (UR) with a lot of interest. I won’t get into technical and legislative details abou...
More Questions Answered for Request for Authorization (RFA)
Mar 25, 2016
More Questions Answered for Request for Authorization (RFA)
I recently posted answers to questions from DaisyBill’s Request for Authorization (RFA) webinar. Many people found those answers helpful, so I’m answering even more questions...
3 Facts About Automatic Authorization for Workers’ Compensation
Apr 25, 2018
3 Facts About Automatic Authorization for Workers’ Compensation
Recently, a DaisyBill client reached out with questions regarding automatic authorization. The source of the confusion was a slideshow presentation from the California Coalit...
Filter and Search CA MTUS Drug Formulary With New Tool
Apr 23, 2018
Filter and Search CA MTUS Drug Formulary With New Tool
California’s new drug formulary isn’t exactly user-friendly. For that reason, we developed a new tool to make authorization for pharmaceuticals much, much easier. The ...
Automatic Authorization: Late Bill Submission Does Not Bar Payment
Mar 23, 2018
Automatic Authorization: Late Bill Submission Does Not Bar Payment
Workers’ comp providers, be warned: payors are incorrectly denying bills for automatically authorized services due to untimely submission.Untimely submission is not gr...