Most Recent Articles
Feb 23, 2021
Warning: Do Not Accept Credit Cards as Payment
In the past we have written a number of posts (including one about Broadspire) warning providers to not accept credit card payments issued by payers such as claims administra...
Mar 2, 2021
ESIS + Conduent + StrataCare = Provider Torment
Preferred Provider Organizations (PPOs) profit from reducing the reimbursements providers receive for treating injured workers. Yet, we would argue that providers (and injure...
Mar 22, 2021
How To Stop A Network From Taking Your Revenue
Recently, a DaisyBill provider contacted us to discuss a disturbing network contract, one that expands its net well beyond what this provider initially believed...
Mar 25, 2021
Travelers, SCIF Incorrectly Apply New E/M Rules Before Effective Dates
Every year, we see claims administrators incorrectly deny reimbursement because they fail to keep up with the latest changes to the Official Medical Fee Schedule (OMFS). But ...
Mar 26, 2021
Zurich Delays Telehealth Reimbursement During Pandemic
Zurich seems committed to a policy of improperly denying reimbursement for telehealth services, during a pandemic in which remote treatment is crucial to maintaining care for...
Apr 7, 2021
Broadspire Pays Provider 47% Below CA OMFS
It happens every year: Reimbursement rates for workers’ compensation services in California change, and payers reimburse providers at the lesser, previous rates.It hap...
May 12, 2021
CNA Repeatedly Ignores California Law
By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...
Jan 25, 2022
Anthem, CorCare Loot MD - Paying ONLY 5-6% OMFS
As employers vocally complain that their injured employees struggle to find doctors, California legislators allow Preferred Provider Organizations (PPOs) to reap huge profits...
Jan 24, 2022
Gallagher Bassett Bounces Foster Farms Check
You read that headline right.Doctors may need to pin a notice on the wall next to the cash register, as a warning that Gallagher Bassett, a third-party claims administ...
Jan 23, 2022
Gallagher Bassett (Zurich) Check Bounces
Gallagher Bassett is having a rough — and embarrassing — week. After bouncing a check for Foster Farms, the third-party claims administrator (TPA) bounced another, bigger che...
Feb 1, 2022
Athens Admin Pays $0.51 for Firefighter's Treatment
We do our best to give folks the benefit of the doubt here at daisyBill. However, we can only presume that Athens Administrators deemed the authorized treatment admini...
Feb 5, 2022
Credit Card Payments Steal Money From Doctors
Sometimes, the smaller ways in which payers loot California workers’ comp doctors are the most frustrating. For example, payments sent to providers in the form of a “c...