Most Recent Articles
Oct 19, 2017
How It Works: Independent Bill Review (IBR)
Think about what workers' comp providers go through to obtain correct payment for treating injured workers. Compliant authorization and billing are taxing enough. Appealing i...
Oct 6, 2017
The Provider’s Burden: Appealing Improper Reimbursements
Workers’ comp billing is hard enough. Four years ago, California passed strict requirements that providers must follow to appeal incorrect reimbursements from insurers...
Jan 7, 2014
Let's Talk Second Reviews
From our provider RBRVS webinar yesterday we gathered there are some questions out there about what the components are for a compliant second review submitted on paper. As re...
Oct 10, 2018
No Response to Second Review Request? A Lien Is the Only Option
A recent refusal by Travelers Insurance to respond to a provider’s second review appeal, and subsequent denial of the provider’s request for Independent Bill Review (IBR), pe...
Aug 4, 2016
Numbers Don't Lie: Second Reviews Work
Still not convinced that Second Reviews work? We’ll let the numbers speak for themselves:
Apr 19, 2018
Audit Complaints Show Workers’ Comp Providers Face Uphill Battle
In California, workers’ compensation providers face a labyrinth of billing and payment rules, and these providers struggle with an enforcement structure that favors employers...
Sep 20, 2014
Providers, File Those Independent Bill Reviews (IBRs)!
Recently I heard Dr. Rupali Das speak at the CWC & Risk Conference--she’s the DWC Executive Medical Director. Her very interesting presentation started me thinking about work...
Jul 22, 2015
Workflow for Second Bill Reviews for Work Comp
Last week we gave a webinar on Second Bill Reviews (SBRs) for workers’ comp. We covered both the correct way to submit SBRs (for providers) and the compliant way to process S...
Sep 5, 2017
DWC Database of Dismissed Liens Available
You may recall last month’s dismissal of over 292,000 unresolved liens by California’s Division of Workers’ Compensation (DWC). The DWC closed the lien cases for failure to c...
Sep 14, 2017
IBR Injustice: Maximus Mishandling 0232T Decisions
A client of DaisyBill recently brought to our attention another poor Independent Bill Review (IBR) by Maximus Federal Services, the entity the California Division of Workers’...
Aug 29, 2018
CA Appeal Denials Based on Defunct MUE Values
Last month, California’s Division of Workers’ Compensation (DWC) posted updates to the Official Medical Fee Schedule (OMFS) which included an unpleasant surprise. The OMFS ad...
Aug 31, 2018
Data: Excessive Workers’ Comp Claim Denials Backfire
An industry study tells an interesting story about workers’ compensation claims. A significant upward trend in denials ultimately cost employers and their claims administrato...