Most Recent Articles

URGENT: Zurich Refusing to Pay Providers for Treating Injured CA Workers
Sep 29, 2020
URGENT: Zurich Refusing to Pay Providers for Treating Injured CA Workers
This is an URGENT article written to alert California workers’ comp providers that Zurich is incorrectly denying workers’ comp bills by citing the untimely filing of the bill...
Employers Should Demand That Zurich Pay Providers
Sep 30, 2020
Employers Should Demand That Zurich Pay Providers
Yesterday we published the first in a series of urgent articles alerting California’s workers’ comp community that Zurich is refusing to pay providers who treat injured worke...
CA OMFS: E/M Billing - 2021 Major Changes
Mar 4, 2021
CA OMFS: E/M Billing - 2021 Major Changes
Effective March 1, updates to California’s Physician and Non-Physician Practitioner Fee Schedule significantly alter the way providers bill for Evaluation and Management (E/M...
2021 E/M Reimbursement Rates for CA Workers' Comp
Mar 8, 2021
2021 E/M Reimbursement Rates for CA Workers' Comp
As we reported previously, California’s Division of Workers’ Compensation made major changes to Evaluation and Management (E/M) billing for 2021. In addition to updati...
2021 Facility E/M Reimbursement Rates for CA Workers' Comp
Mar 9, 2021
2021 Facility E/M Reimbursement Rates for CA Workers' Comp
Evaluation and Management (E/M) billing is very different for California workers’ comp physicians in 2021. Among the changes to the Physician Fee Schedule are new reim...
How to Apply HCPCS G2212 in CA Workers' Comp
Mar 15, 2021
How to Apply HCPCS G2212 in CA Workers' Comp
Important Update: The DWC adopted an MUE limiting the number of units of G2212 providers may bill. Details below!This year, California’s Division of Workers’ Compensat...
CA Cheat Sheet: Required Reports & Supporting Documentation for Workers' Comp Bills
Aug 19, 2021
CA Cheat Sheet: Required Reports & Supporting Documentation for Workers' Comp Bills
In California, when submitting a bill for treating an injured worker, it’s imperative to include the correct documentation to support the treatment. If the provider fails to ...
TPA Changes: City of Alameda, Torrance Unified Schools
Sep 28, 2021
TPA Changes: City of Alameda, Torrance Unified Schools
Two California public employers switched third-party administrators (TPA) recently, affecting bills for all dates of service. The City of Alameda and the Torrance Unified Sch...
E/M: Not the PTP? How to Bill for Required Reports
Nov 3, 2021
E/M: Not the PTP? How to Bill for Required Reports
For Evaluation and Management (E/M) in California workers’ comp, Primary Treating Physicians (PTP) must submit with the bill a progress report using either the ...
CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR
Feb 10, 2022
CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR
To help demystify California Medical-Legal record review billing code MLPRR, daisyBill published an MLPRR guide for California physician evaluators. Our ...
City of Oxnard Changes TPA
Jul 19, 2022
City of Oxnard Changes TPA
Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is having a rough summer, as various self-insured employers switch from AIMS, choosing instea...
City of Hayward Changes TPA
Jul 19, 2022
City of Hayward Changes TPA
Self-insured employers in California are apparently reconsidering their use of Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS). Several emplo...