Billing Education
Mar 13, 2018
How Workers’ Comp Payments By Credit Card Hurt CA Providers
Accepting credit cards from patients for co-pays and deductibles is one thing, but it makes zero financial sense for California providers to accept credit card payments from ...
Mar 5, 2018
CPT 97750 for Functional Capacity Exams: Medically Unlikely Edits
Providers sometimes run into trouble when billing Current Procedural Terminology (CPT) Code 97750. Providers use this procedure code to bill for functional capacity exams, in...
Mar 2, 2018
FYI: $10k of Treatment Authorized Before Claim is Accepted or Denied
When an employee files a workers’ compensation claim, the employer or insurer is immediately liable for the cost of all medically necessary treatment provided before the clai...
Feb 15, 2018
How to Bill for Physician-Dispensed Pharmaceuticals
Payments for physician-dispensed drugs are some of the most misunderstood — and incorrectly denied — in workers’ compensation billing. Too often, the employer or insurer’s cl...
Feb 13, 2018
Providers: Don't Accept 2017 OMFS Rates for 2018 Dates of Service
Lately, we’ve noticed a problem. Some claims administrators are reimbursing providers incorrectly. Instead of paying the higher 2018 Official Medical Fee Schedule (OMFS), cla...
Jan 30, 2018
Work Comp: How to Bill for P&S Reports (Do Not Use ML102!)
Some providers mistakenly believe that Permanent and Stationary (P&S) reports are billable with medical-legal billing code ML102 for Basic Comprehensive Medical-Legal Evaluat...
Jan 3, 2018
Med-Legal Billing: How to Obtain Reimbursement for Diagnostic Tests
The conditions under which claims administrators must pay medical-legal doctors for diagnostic tests are specific and narrow. To ensure reimbursement, it’s important to know ...
Dec 1, 2017
2018 Authorization/Utilization Review: Major Changes Effective 1/1/2018
Senate Bill 1160 makes significant changes to the authorization and utilization review (UR) process starting in 2018. New “fast-track” UR takes effect on January 1. Fa...
Nov 30, 2017
Billing Tip: Cumulative Trauma Date of Injury
Compliant billing is crucial for providers to obtain proper reimbursement for treating injured workers. One important, but occasionally tricky, aspect of compliant billing is...
Nov 29, 2017
Outpatient/ASC Coding: J1 Combinations and C-APC
No one said work comp billing was easy. In fact, we say just the opposite, all the time. That’s why we created DaisyBill, and why we do our best to offer as many helpful tips...
Nov 21, 2017
Why Work Comp Providers Need Specialized RCM
Workers’ compensation is different.It’s a labyrinth of legal and procedural twists, turns, and obstacles that don’t plague providers in other areas of medicine. When i...
Nov 17, 2017
Overpaid? Don't Rush to Return Payment to Claims Admin
Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening provider...