AME
Med-Legal Data: IBR Is the QME/AME's Friend
Dec 8, 2022
Med-Legal Data: IBR Is the QME/AME's Friend
California workers’ comp presents serious challenges to physicians — and Medical-Legal physicians are no exception. Despite a recently simplified Medical-Legal Fee Sch...
CA Med-Legal: Q&A for Confused Physicians
Nov 8, 2022
CA Med-Legal: Q&A for Confused Physicians
Recently, a physician evaluator reached out to us with questions regarding Medical-Legal services for California workers’ comp. Rather than share the answers with this physic...
Midwest Insurance Fails to Pay QME
Nov 8, 2022
Midwest Insurance Fails to Pay QME
If there’s any doubt regarding why California workers’ comp is facing a shortage of Qualified Medical Evaluators (QMEs), look no further than Midwest Insurance. Midwest has b...
ALERT: Municipal Pooling Authority Bounces QME Check (Twice)
Nov 8, 2022
ALERT: Municipal Pooling Authority Bounces QME Check (Twice)
The Municipal Pooling Authority (MPA) recently bounced a check to a California Qualified Medical Evaluator (QME) — not once, but twice. According to MPA representative...
ESIS Pays Med-Legal Bills Following Audit Complaints
Sep 7, 2022
ESIS Pays Med-Legal Bills Following Audit Complaints
California physicians can always rely on ESIS to pay its bills for Medical-Legal services — as long as they're willing to report ESIS to the Division of Workers’ Compensation...
(Free, Transparent) CA Med-Legal Fee Schedule Data
Aug 4, 2022
(Free, Transparent) CA Med-Legal Fee Schedule Data
As the California Workers’ Compensation Institute (CWCI) peddles paid access to its insurer-derived data and white-tie webinars, daisyBill would like to offer an update on th...
CA Med-Legal How-To: Collect Penalty & Interest Payments
Apr 27, 2022
CA Med-Legal How-To: Collect Penalty & Interest Payments
California physician evaluators, be advised: when claims administrators are late in paying for Medical-Legal services, penalty and interest payments apply. However, inadequat...
CA Med-Legal: How to Appeal Unpaid AME Modifier -94
Apr 7, 2022
CA Med-Legal: How to Appeal Unpaid AME Modifier -94
Regularly, California workers’ comp claims administrators incorrectly deny Medical-Legal Fee Schedule (MLFS) modifier -94 for Agreed Medical Evaluator (AME) services. In this...
Farmers Insurance: Winning "IBR Chicken”
Mar 31, 2022
Farmers Insurance: Winning "IBR Chicken”
California workers’ comp technically offers an appeals process for providers to dispute incorrect reimbursements. However, this appeals process actually encourages claims adm...
CA Med-Legal Reports: REQUIRED Physician Verification
Feb 7, 2022
CA Med-Legal Reports: REQUIRED Physician Verification
Last spring, California introduced a new Medical-Legal Fee Schedule (MLFS). Since April 2021, daisyBill clients have submitted over 80,000 medical-legal bills where the new M...
Download: Med-Legal "Superbill"
Dec 8, 2021
Download: Med-Legal "Superbill"
Medical-Legal billing for California workers’ comp is like…well, anything in California workers’ comp: a big mess.It’s convoluted, and physicians get nearly zero help ...
CA State Report: QMEs Deserve Better From DWC
Feb 12, 2020
CA State Report: QMEs Deserve Better From DWC
A report from a California State Auditor found much to be desired regarding the Division of Workers' Compensation (DWC)'s handling of Qualified Medical Evaluators.Elai...