Most Recent Articles

Discount Dangers: Providers Cheated for PR-2 Reports
Jun 14, 2018
Discount Dangers: Providers Cheated for PR-2 Reports
It seems like claims administrators really, really want to cheat California workers’ comp providers by reducing payment for the Treating Physician’s Progress Report, or PR-2....
Multiple Payors Reimbursing WC002 at 2017 Rates
Jun 1, 2018
Multiple Payors Reimbursing WC002 at 2017 Rates
We’re halfway through 2018, and claims administrators are still reimbursing your office at 2017 rates for 2018 dates of service.We’ve noticed this problem all year for...
E/M Services Denied for Insufficient Documentation
May 30, 2018
E/M Services Denied for Insufficient Documentation
Increasingly, claims administrators are no longer downcoding evaluation and management (E/M) services. Instead, many claims administrators are denying charges for E/M service...
Overpaid? Don't Rush to Return Payment to Claims Admin
Nov 17, 2017
Overpaid? Don't Rush to Return Payment to Claims Admin
Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening provider...
No Response? How to Deal with Ignored Bills
May 17, 2018
No Response? How to Deal with Ignored Bills
It happens far too often: providers treat an injured worker for a California employer, send the bill to the claims administrator, and then...nothing. Workers’ comp is ...
Reminder: E/M Reimbursements Higher in 2018
Feb 21, 2018
Reminder: E/M Reimbursements Higher in 2018
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Some of the most commonly used billing codes by our providers, Evaluation an...
Glitch at York Risk May Delay Bill Payment
Jan 17, 2018
Glitch at York Risk May Delay Bill Payment
Technical problems at third-party administrator York Risk Services left roughly 15,000 bills unprocessed. The error was discovered and resolved by York’s in-house bill review...
How Workers’ Comp Payments By Credit Card Hurt CA Providers
Mar 13, 2018
How Workers’ Comp Payments By Credit Card Hurt CA Providers
Accepting credit cards from patients for co-pays and deductibles is one thing, but it makes zero financial sense for California providers to accept credit card payments from ...
Claims Administrator Days to Payment Q1 – Q3
Nov 22, 2016
Claims Administrator Days to Payment Q1 – Q3
So you’ve filled out all the required fields in DaisyBill and clicked ‘submit’ on your bill. End of story? Not a chance. For us, that’s just the beginning.From ...
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Jul 21, 2014
Average Days to Payment, March - June 2014
I’ve talked before about the data that DaisyBill can track for workers’ compensation claims administrators.  As we’ve done a few times in the past, here’s a table that shows ...
2016 Claims Administrator Days to Payment: Liberty Mutual to AmTrust
Feb 17, 2017
2016 Claims Administrator Days to Payment: Liberty Mutual to AmTrust
If you’re a regular visitor to our blog, you’ll recognize a common refrain: Electronic billing is fast, efficient, and easy. How fast, exactly? California Labor Code § 4603.4...
Broadspire Requiring Providers to Accept Its Credit Card Payments?
Nov 13, 2014
Broadspire Requiring Providers to Accept Its Credit Card Payments?
I’m writing about Broadspire again and, unfortunately, we haven’t been hearing good things.Apparently Broadspire has been sending payments to providers via credit card...