Most Recent Articles
May 4, 2018
Medical-Legal Fee Schedule: DWC Proposes New Amendments
The California Division of Workers’ Compensation (DWC) announced proposed amendments to the Medical-Legal Fee Schedule yesterday, May 3. The amendments would make sign...
May 8, 2018
Medical-Legal: When to Bill For Report Preparation
Medical-legal billing is a special kind of tricky. This unique subset of California workers’ comp has its own rules, its own fee schedule, and its own unique complicat...
May 9, 2018
Medical-Legal Complexity Factors: Provider Requirements
Recently, a DaisyBill client faced unreasonable demands from a bill review regarding complexity factors for medical-legal billing code ML104. Fortunately, our client’s refusa...
Sep 26, 2018
DWC Will Hold Meeting on Controversial Medical-Legal Rule Proposals
In May of this year, California’s Division of Workers’ Compensation (DWC) announced proposed changes to the state Medical-Legal Fee Schedule (MLFS), and welcomed public comme...
Sep 21, 2018
Med-Legal Misconceptions: 4 Ways NOT to Use Billing Code ML106
In California, physicians use code ML106 to bill for supplemental medical-legal examinations. However, what constitutes a supplemental medical-legal exam for billing purposes...
Mar 2, 2018
FYI: $10k of Treatment Authorized Before Claim is Accepted or Denied
When an employee files a workers’ compensation claim, the employer or insurer is immediately liable for the cost of all medically necessary treatment provided before the clai...
Jan 30, 2018
Work Comp: How to Bill for P&S Reports (Do Not Use ML102!)
Some providers mistakenly believe that Permanent and Stationary (P&S) reports are billable with medical-legal billing code ML102 for Basic Comprehensive Medical-Legal Evaluat...
Jan 24, 2018
Medical-Legal Cheat Sheet: Reimbursements
Update: for dates of service on or after April 1, 2021, refer to our 2021 Med-Legal Cheat Sheet for California workers’ comp.Billing for medical-legal services is one ...
Dec 8, 2017
Medical-Legal Billing Lacks Necessary Rules
When it comes to medical-legal billing, the workers’ comp field is missing something. For medical-legal bills, no rules govern the billing form used or the method used...
Jan 3, 2018
Med-Legal Billing: How to Obtain Reimbursement for Diagnostic Tests
The conditions under which claims administrators must pay medical-legal doctors for diagnostic tests are specific and narrow. To ensure reimbursement, it’s important to know ...
May 11, 2018
Discount Dangers: The Provider’s Bill of Rights (Rights VI and VII)
Discount Dangers is a DaisyBill series on the ways discount contracts unscrupulously lower work comp providers’ reimbursements. With this series, we shine a light on the wors...
May 2, 2018
DME: Invoice Not Required for (Most) Durable Medical Equipment
Too often, we see claims administrators demand extraneous paperwork from providers, adding unnecessary friction to the workers’ comp billing and payment process. One example ...