bill review
Aug 8, 2019
CNA, Crum & Forster, County of San Diego: e-EORs Not Optional
As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...
Jul 17, 2019
Mitchell Unresolved EOR Mess
A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...
May 30, 2019
Ultrasound Documentation: Images NOT Required
At DaisyBill, our clients ask us for help when claims administrators improperly deny reimbursement. Recently, our clients have reported that some claims administrators are de...
Apr 26, 2019
Crum & Forster Switches Bill Review Vendor
According to a notice received from Crum and Forster, the insurer is no longer using Corvel for processing medical bills.Effective 4/24/2019, Conduent will be handling...
Apr 8, 2019
One Beacon Switches Bill Review to Genex
Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.One Beacon employs Jopari as its clearinghouse. Electro...
Feb 4, 2019
California-Specific Codes Updated for 2019
With the flurry of new year fee schedule changes, California updated the Physician Fee Schedule reimbursement for its state-specific codes. These codes are explained in 8 CCR...
Feb 1, 2019
Sedgwick Still Reimbursing at 2018 Rates for California
Since the beginning of 2019, Sedgwick CMS has incorrectly used the 2018 Physician Fee Schedule to reimburse providers. Our data indicates that Sedgwick is consistently and in...
Jul 25, 2018
Don’t Buy the Hype: Excessive Bill “Auditing” Hurts Workers’ Comp
At DaisyBill, we pride ourselves on helping providers obtain correct, consistent reimbursement for treating injured workers. But our mission to cut the waste and inefficiency...
Apr 20, 2018
York Risk Services Must Treat CA Providers Better
DaisyBill strives to make workers’ comp billing and payment smoother for both providers and payors. We work with thousands of payors, including employers, insurers, an...
Mar 22, 2018
Macy’s Changes Bill Review; Sedgwick Error Causes Bill Rejections
Self-insured employer Macy’s no longer utilizes EK Health Bill Review. Effective March 3, 2018, Macy’s switched to Sedgwick Claims Management Services National Bill Review. <...
Mar 16, 2018
FYI: American Airlines Changes Bill Review
Self-insured employer American Airlines no longer utilizes Genex Services Bill Review. Effective February 1, 2018, American switched to Sedgwick Claims Management Services Na...
Jan 26, 2018
Bill Review: What It Is, and Why It’s Hurting Workers’ Compensation
Bill review is very profitable. Sadly, that profit comes at the expense of other stakeholders in workers’ comp. Bill review is a huge part of the workers’ comp billing...