Most Recent Articles

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...

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...

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...

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...

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...

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...

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...

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 ...

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...

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 ...

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...

Stay Compliant: An Update on Modifier 93 for Exams Requiring Interpreter Services

Some insurers are making unreasonable demands regarding the application of modifier 93. Medical-legal providers use modifier 93 to bill for the extra time required to conduct...