Most Recent Articles

DaisyBill Pro Tip: Claim Number Patterns
Oct 27, 2014
DaisyBill Pro Tip: Claim Number Patterns
This is the first in an occasional series dedicated to nitty-gritty billing tips for workers’ comp; the kind of details that, if taken care of, will make life easier for both...
Taking it to Eleven: How to Convert 10-Digit NDC Numbers
Apr 18, 2017
Taking it to Eleven: How to Convert 10-Digit NDC Numbers
A common billing predicament facing workers’ comp billers involves the reporting of prescription and nonprescription medications and inserts using an identifying National Dru...
Primary Treating Physicians: Keep Your PR-2 Reports on Point!
Feb 28, 2018
Primary Treating Physicians: Keep Your PR-2 Reports on Point!
If you’re the primary treating physician (PTP) for an injured worker, you already know the Treating Physician’s Progress Report (on Form PR-2 or the narrative equivalent ther...
CPT 97750 for Functional Capacity Exams: Medically Unlikely Edits
Mar 5, 2018
CPT 97750 for Functional Capacity Exams: Medically Unlikely Edits
Providers sometimes run into trouble when billing Current Procedural Terminology (CPT) Code 97750. Providers use this procedure code to bill for functional capacity exams, in...
More Work Comp Questions Answered
Jan 21, 2014
More Work Comp Questions Answered
We are cruising through January and still collecting questions from providers.  We’re happy to answer them and here are a few more of our most common ones.
Required Supporting Documentation for California Workers’ Comp Bills
Mar 16, 2017
Required Supporting Documentation for California Workers’ Comp Bills
Yesterday on the blog, we broke down the differences between the California Division of Workers’ Compensation (DWC) forms PR-3 and PR-4 for Primary Treating Physicians. Today...
WC002 And You: PR-2 Reports and Reimbursement
Jul 18, 2017
WC002 And You: PR-2 Reports and Reimbursement
Every California workers’ comp provider that acts as a primary treating physician (PTP) for injured workers is familiar with the Treating Physician's Progress Report, also kn...
Understanding DWC Forms PR-3 and PR-4
Mar 15, 2017
Understanding DWC Forms PR-3 and PR-4
The California Division of Workers’ Compensation (DWC) produces a full slate of standardized forms to cover all aspects of the workers’ compensation system – everything from ...
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Apr 23, 2014
New CMS 1500 Form
Starting April 1, 2014, providers in California must use a new CMS 1500 form when submitting bills for treatment provided to injured workers.  The transition period has come ...
Denials/Reductions for Insufficient E/M Documentation Continue
Jul 25, 2018
Denials/Reductions for Insufficient E/M Documentation Continue
We recently warned providers about an emerging trend among California workers’ comp claims administrators: denying payment for Evaluation and Management (E/M) services in the...
Struggling with City of LA Work Comp Bills? This Might Be Why
Dec 29, 2014
Struggling with City of LA Work Comp Bills? This Might Be Why
City of LA requires additional zeroes in some of their work comp claim numbers.
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Jun 9, 2014
How Often Is a PR-2 Reimbursable?
Part of the job of the treating physician is to report on the patient's condition regularly via a PR-2 report (billed as WC0002).  However, per the DWC, the payment for this ...