Billing Education

6 Minute How-To: Completing a CMS 1500 for California Workers’ Comp
Mar 8, 2019
6 Minute How-To: Completing a CMS 1500 for California Workers’ Comp
DaisyBill is all about making workers’ comp billing easier and more understandable. To that end, we launched a new video series aimed at mastering the ins and outs of this co...
Assistant at Surgery: All You Need to Know
Mar 4, 2019
Assistant at Surgery: All You Need to Know
Last week, we opened Pandora’s box on co-surgeons and team surgery. Notably left in the box was a discussion on assistant(s) at surgery. Typically this arises when physicians...
Co-Surgery vs. Team Surgery: All You Need to Know
Feb 26, 2019
Co-Surgery vs. Team Surgery: All You Need to Know
Surgery in workers’ compensation cases opens a Pandora’s box: reserves go up, nurse case managers get involved, and surgeons need to justify every detail of their billing to ...
Reminder: Timely Bills Are Mandatory
Feb 14, 2019
Reminder: Timely Bills Are Mandatory
Late bills will not be paid. Period. Timely billing has been in effect in California workers’ compensation since January 1, 2017, but we still see providers missing th...
The 5 Point Checklist for CPT Codes 99358 and 99359
Nov 18, 2018
The 5 Point Checklist for CPT Codes 99358 and 99359
Changes have been made to the California OMFS since the publication of this article. Be sure to see the latest analyses here and here.2021 OMFS updates drastically cha...
CA Providers: Do Not Alter Bill When Submitting Second Review Appeal
Sep 14, 2018
CA Providers: Do Not Alter Bill When Submitting Second Review Appeal
To appeal incorrect reimbursements or bill denials, California providers must submit timely and compliant requests for second review. To date, DaisyBill clients have recovere...
CA Providers: Do Not Provide Additional Reports Without Payment
Aug 8, 2018
CA Providers: Do Not Provide Additional Reports Without Payment
For California workers’ comp providers, reporting is an important (if sometimes burdensome) requirement. Documentation is everything, hence the requirements for reports like ...
Denials/Reductions for Insufficient E/M Documentation Continue
Jul 25, 2018
Denials/Reductions for Insufficient E/M Documentation Continue
We recently warned providers about an emerging trend among California workers’ comp claims administrators: denying payment for Evaluation and Management (E/M) services in the...
RFA For Emergency Treatment in California Workers' Comp
Jul 12, 2018
RFA For Emergency Treatment in California Workers' Comp
First, let’s be clear that providers never have to wait for authorization before providing emergency treatment an acute medical condition. Never.However, the provider ...
Workers’ Comp Billing Tip: Use a Detailed Cover Sheet
Jul 11, 2018
Workers’ Comp Billing Tip: Use a Detailed Cover Sheet
California’s Division of Workers’ Compensation (DWC) has many strict requirements as to what constitutes a “complete” bill for the treatment of injured workers. But given the...
CA Providers: Appeal Denials for Treatment Preceding Liability Decision
Jun 27, 2018
CA Providers: Appeal Denials for Treatment Preceding Liability Decision
Recently, we pointed out that California employers are liable for treatment that precedes the claims administrator’s decision to accept or deny a workers’ comp claim. Before ...
Conditional Authorization: How MPNs Cheat Workers’ Comp Providers
Jun 22, 2018
Conditional Authorization: How MPNs Cheat Workers’ Comp Providers
Medical Provider Networks (MPNs) are a drag on California workers’ compensation. Nominally designed to help employers control costs, MPNs rarely achieve more than throwing up...