Billing Education
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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...
Aug 30, 2018
Don't Rely on Claims Administrators. Providers Must Know The Rules.
Repeatedly, we hear some version or another of the same story: a provider reaches out to a claims administrator for information regarding workers’ comp billing and payment. T...
Aug 22, 2018
New York Billing: CMS-1500 Field 19 (Additional Claim Information)
New York State workers’ comp billing is in transition. Ultimately, the state will make a full, mandatory switch to e-billing. But before that, starting on January 1, 2019, pr...
Aug 15, 2018
NY Workers' Comp Billing: How to Complete CMS 1500
Starting January 1, 2019, New York workers’ comp providers may submit original bills using the CMS 1500 form, rather than New York-specific forms C-4, C-4.2, OT/PT-4, PS-4, a...
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 ...
Aug 7, 2018
New York Workers’ Comp: Big Billing Changes Coming in 2019
On April 17, 2018, the New York State Workers’ Compensation Board (WCB) announced its intention to improve medical care for injured workers. Board Bulletin Subject No. 046-10...
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...
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 ...
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...
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 ...
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...
Jun 21, 2018
Modifier 26 for Workers’ Comp Professional Services
Modifiers play a vital role in California workers’ compensation billing. But for all the value they add in allowing providers to more precisely specify the services rendered,...