Most Recent Articles

Workers’ Comp Billing Tip: Use a Detailed Cover Sheet
Jul 11, 2018
Workers’ Comp Billing Tip: Use a Detailed Cover Sheet
California’s Division of Workers’ Compensation (DWC) has many strict requirements as to what constitutes a “complete” bill for the treatment of injured workers. But given the...
Modifier 26 for Workers’ Comp Professional Services
Jun 21, 2018
Modifier 26 for Workers’ Comp Professional Services
Modifiers play a vital role in California workers’ compensation billing. But for all the value they add in allowing providers to more precisely specify the services rendered,...
Workers’ Comp Billing Error: Resubmit or Request Second Review Appeal?
May 30, 2018
Workers’ Comp Billing Error: Resubmit or Request Second Review Appeal?
Mistakes happen. When a provider accidentally submits an original bill that contains an error, taking the appropriate action is key to avoiding further delay in reimbu...
Bill "Auditing" Services Try to Bamboozle Providers
Oct 10, 2018
Bill "Auditing" Services Try to Bamboozle Providers
Recently, MARS (Medical Audit and Review) made a very strange — and very dubious — offer to a California provider on behalf of the claims administrator, Farmers Insurance.
DaisyBill Mail Delivers When Needed
Jun 13, 2017
DaisyBill Mail Delivers When Needed
Let’s start with some old news: Since October 2012, California claims administrators must accept electronic billing for workers’ compensation bills. Fast-forward four years, ...
How to Bill for Physician-Dispensed Pharmaceuticals
Feb 15, 2018
How to Bill for Physician-Dispensed Pharmaceuticals
Payments for physician-dispensed drugs are some of the most misunderstood — and incorrectly denied — in workers’ compensation billing. Too often, the employer or insurer’s cl...
Coding Clinic: How to Bill for Evaluation & Management Services
Nov 15, 2017
Coding Clinic: How to Bill for Evaluation & Management Services
As the Centers for Medicare and Medicaid Services (CMS) like to say, “If it is not documented, it has not been done.” Of course, documenting can be just as painstaking as the...
5 Strategies to Prevent Denied Work Comp Bills
Nov 16, 2017
5 Strategies to Prevent Denied Work Comp Bills
California does not make it easy for work comp providers to get paid. The time and effort necessary to obtain proper reimbursement is an unfortunate reality of a system weigh...
New Patient Intake Form Available
Sep 7, 2017
New Patient Intake Form Available
A well-crafted intake form, targeted to the California Division of Workers’ Compensation (DWC)’s billing guidelines, is the provider’s first line of defense against incorrect...
New Original Bill Requirement Raises Lien Questions
Jan 16, 2017
New Original Bill Requirement Raises Lien Questions
On a typically overcast San Francisco morning earlier this month, the California Workers’ Compensation Appeals Board (WCAB) held a public hearing. The subject? Proposed regul...
DaisyBill Pro Tip: Patients with Multiple Claim Numbers
Dec 2, 2014
DaisyBill Pro Tip: Patients with Multiple Claim Numbers
In workers’ compensation, it is not uncommon to come across a patient who has multiple claim numbers as the result of different injuries. Occasionally the claims or, more spe...
Billing Tip: Cumulative Trauma Date of Injury
Nov 30, 2017
Billing Tip: Cumulative Trauma Date of Injury
Compliant billing is crucial for providers to obtain proper reimbursement for treating injured workers. One important, but occasionally tricky, aspect of compliant billing is...