CA Payors Put the Squeeze on Providers (Again)
Jun 13, 2019
In California, box 1a of the CMS 1500 billing form is for the injured worker’s Social Security Number (SSN). When the claims administrator insists the provider populate box 1...
Pro Tip: Submit RFAs During Liability Disputes
Jun 6, 2019
When the employer and injured worker are locked in an injury liability dispute, the provider is frequently caught in the crossfire. Often, treatment cannot wait for the long ...
Ultrasound Documentation: Images NOT Required
May 30, 2019
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...
Let's Make This Clear: Workers' Comp Is Not Medicare
May 29, 2019
A recent post by Joe Paduda perpetuates the common but incorrect practice of analogizing workers’ comp to Medicare. In his discussion, Paduda notes that Medicare pays much le...
Recent ICD-10 Updates Do Not Apply to Workers' Comp Billing
May 23, 2019
The latest in dubious denial strategies for California workers’ comp: some claims administrators are denying provider bills for being out of step with updates to the current ...
Alert: More Unreasonable Physician Reporting Demands
May 17, 2019
When it comes to billing complications, some California payers are demanding documentation for time-based procedure codes; a demand that is unsubstantiated by California work...
SB 537: Physicians Should REVOLT Against Inequities
May 15, 2019
DaisyBill believes every California physician should be extremely alarmed by the proposed addition of Labor Code § 138.8 in SB 537. If passed as-is, § 138.8 would require the...
Ventura Unified School District Is No Longer Using York
May 14, 2019
Ventura Unified School District is no longer using York to process medical bills. Effective 5/1/2019, Athens will be handling all claims for the Ventura Unified Schoo...
California Workers’ Comp Providers Are Overworked and, According to the WCRI, Underpaid
May 10, 2019
California pays its providers less than just about any other state for services rendered to injured workers. With 2,300 California provider clients, DaisyBill's number...
SB 537: Arbitrary Medicare Reimbursement Hurts Physicians
May 9, 2019
SB 537 incorrectly presumes there is an analogy between workers’ comp and Medicare. While the assumption seems understandable, it reflects a common misunderstanding that work...
SB 537: Say NO to Medicare Reimbursements
May 2, 2019
A proposed California bill, though seemingly benign, may establish Medicare rates as a standard for workers’ comp reimbursements, which would be a mistake. The bill, w...
Crum & Forster Switches Bill Review Vendor
Apr 26, 2019
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...