Billing Education
Nov 15, 2017
Coding Clinic: How to Bill for Evaluation & Management Services
As the Centers for Medicare and Medicaid Services (CMS) like to say, “If it is not documented, it has not been done.” Of course, documenting can be just as painstaking as the...
Oct 20, 2017
Discount Dangers: Specialty Networks Are the Barnacles of Work Comp
Discount Dangers is a DaisyBill series on the various ways discount contracts cheat workers’ comp providers out of reimbursement. With this series, we shine a light on the wo...
Oct 3, 2017
DaisyBillaroo Conference on Workers’ Comp Billing and Payment a Smash!
We had a fantastic time hosting our very first DaisyBillaroo Conference, the only conference devoted exclusively to California workers’ comp billing and payment. What a blast...
Sep 8, 2017
Clearinghouse Makes False Claims About Electronic Billing
Multiple providers allege that a major clearinghouse fed them inaccurate information about electronic billing in California. According to these providers, the clearinghouse i...
Sep 7, 2017
New Patient Intake Form Available
A well-crafted intake form, targeted to the California Division of Workers’ Compensation (DWC)’s billing guidelines, is the provider’s first line of defense against incorrect...
Aug 14, 2017
In Case You Missed It: San Mateo and Sonoma Counties Change TPAs
Two California counties recently transferred their claims from Northern Claims Management to new administrators. Not surprisingly, communication about these changes was minim...
Aug 9, 2017
Reminder: Secondary Treating Physician Reports Not Payable
Last month in this space, we covered reimbursement for the DWC Form PR-2, or the primary treating physician’s progress report. Since that time, we’ve received a number of que...
Aug 2, 2017
Hospital Outpatient Prospective Payment System: C-APC Explained
Yesterday on the blog, we described how Medicare’s adoption of Addendum B for the Hospital Outpatient Departments and Ambulatory Surgical Centers (ASCs) fee schedule moves th...
Aug 1, 2017
Hospital Outpatient Prospective Payment System: J1 Status Indicator Explained
Late last year, the Division of Workers’ Comp (DWC) drastically changed the reimbursement calculations used for Hospital Outpatient Departments and Ambulatory Surgical Center...
Jul 20, 2017
Reminder: Consultation Codes Not Payable Without Authorization
Here’s an uncontroversial statement: Workers’ comp is constantly changing. In fact, rules and regulations change so quickly that many medical billers and providers struggle t...
Jul 18, 2017
WC002 And You: PR-2 Reports and Reimbursement
Every California workers’ comp provider that acts as a primary treating physician (PTP) for injured workers is familiar with the Treating Physician's Progress Report, also kn...
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Jul 13, 2017
A Guide To Medically Unlikely Edits For Workers’ Comp Bills
The DaisyBill Support Team recently received a billing question about procedure code J7321 for intra-articular injection. Our client billed for two units of J7321, and per th...