AME

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

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

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

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”

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

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"

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

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...