Most Recent Articles

Sedgwick Ignores Medical-Legal Bills

Some claims administrators treat California workers’ comp laws and regulations as optional — and there may be no more egregious example than Sedgwick Claims Management Servic...

CA: Med-Legal Makes More Financial Sense Than Treatment

California physicians must come to terms with an uncomfortable fact: financially, a physician’s time is much better spent conducting Medical-Legal evaluations than actually t...

CA Med-Legal MDs: Don't Accept Denials or Adjustments - IBR Works!

California Medical-Legal physician evaluators, Independent Bill Review (IBR) is your friend.According to data from the Division of Workers’ Compensation (DWC), 96% of ...

CA Med-Legal Billing: 3 Tips to Win IBR Disputes

Statistically, California Medical-Legal evaluators are highly likely to prevail at Independent Bill Review (IBR) — but that doesn’t mean physician evaluators can’t benefit fr...

Payment Data: CA Med-Legal Bills Paid in < 10 Days

How quickly are you being paid for Medical-Legal evaluations? If it takes more than two weeks, it’s time for a change.Many physician evaluators use Medical-Legal manag...

CA Med-Legal: $93M+ for Record Review in 2023

With attorneys dumping tens of millions of pages of medical records on California Medical-Legal evaluators annually, daisyBill physicians conducted over $93 million worth of ...

C'mon, Sedgwick: TPA Tries PPO Discount for Med-Legal (Again)

We’ll say it as often as we have to: Preferred Provider Organization (PPO) discounts do not apply to bills for Medical-Legal services. It’s a lesson that Sedgwick Clai...

The Hartford Reimbursement Goose Chase

California workers’ comp is losing doctors. The underlying issues are manifold, from payer non-compliance to network discount schemes to Medical Provider Network (MPN) chaos....

Costco/Helmsman: Improper $5K Payment Denial

For California physicians, too much time, effort, and revenue are at stake to accept ludicrous payment denials for Medical-Legal evaluations. Unfortunately, California...

CA Provider Warning: P&S vs Med-Legal Reports

This is an essential report warning for California providers. A Permanent and Stationary (PR-4) report and a Medical-Legal evaluation report are not interchangeable. Before i...

CA Appeals: Sutter Health Pays for Frankenreport

In our previous article, daisyNews detailed how Sutter Health authorized a California provider to create a strange combination of a Permanent and Stationary (P&S) report and ...

Gallagher Bassett Denies Bill, Spews Nonsense, Ignores Appeal

Welcome to California workers’ comp, where a claims administrator’s legal obligation to timely pay providers’ bills is more a matter of theory than practice.Safe from ...