Most Recent Articles
Mar 15, 2023
CPT 99358 & 99359: How to Appeal Payment Denials
In workers’ comp billing, some procedure codes are trickier than others.Two of the best examples are CPT codes 99358 and 99359, used by providers to report prolonged n...
May 15, 2023
SCIF Makes Mockery of IBR and the DWC
Yet again, we face another appalling round of "IBR Chicken,” the game in which a claims administrator refuses to shell out a dime to a California provider for services render...
May 16, 2023
Gallagher Bassett Plays IBR Chicken With QME
Gallagher Bassett seemingly tried its hand at the game of IBR Chicken, forcing a Qualified Medical Evaluator (QME) to waste time, money, and resources on a needless dispute —...
Jun 15, 2023
DWC Repeatedly Violates CA IBR Law
California fails to maintain a workers’ comp environment that’s fair and navigable for providers (you know, the people who treat the injured workers). Prime example: the Divi...
Jul 17, 2023
Tristar Ignores CA Second Review Law
We don’t need further evidence that California workers’ comp is corrupted beyond any reasonable person’s notions of fairness, justice, or equity — but here’s Tristar Risk Man...
Jul 20, 2023
CA IBR: Why Are Claims Admins Redacted From Decisions?
Accountability is critical to the functioning of any system, especially one upon which the health of injured workers depends. So we’re compelled to ask a question that’s been...
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Jul 18, 2023
Untimely IBR Decisions - DWC Ignores CA Law
Recently, we shared the numbers demonstrating the absurd (and unlawful) lengths of time for which the Division of Workers’ Compensation (DWC) forces providers to wait for an ...
Jul 26, 2023
Tristar Flouts Law - How Long Will IBR Take?
Tristar Risk Management seems extra comfortable ignoring payment laws and regulations, even by the woeful standards of California workers’ comp. As a result, daisyCollect has...
Sep 14, 2023
FYI: Inaccurate DWC IBR Form May Cost Your Practice
California’s Division of Workers’ Compensation (DWC) has strict and specific requirements for providers who wish to dispute incorrect payment amounts through Independent Bill...
Nov 21, 2023
CA Interpreters, Submit Those Second Bill Reviews!
Many providers of interpreter services in California are forgoing their legal right to correct reimbursement, potentially leaving large amounts of revenue on the table. Becau...
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Jan 29, 2024
Sedgwick: 49% of Appeals Incorrectly Denied
Sedgwick Claims Management Services, Inc. is notorious for failing to respond compliantly to California providers’ bills for treating injured workers. But the Third-Party Adm...
Feb 14, 2024
CA Interpreters: Request IBR!
Interpreters are vital to California workers' comp. Without them, doctors could not treat injured workers with whom they don’t share a common language.But sadly, inter...