Blog: DaisyBill News

The California Division of Workers’ Compensation (DWC) recently made two important announcements concerning the Medical Treatment Utilization Schedule (MTUS).

First, the DWC announced that medical providers will have free access to evidence-based medical guidelines. The second covers updates to several sections of the MTUS.

Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.

One Beacon employs Jopari as its clearinghouse. Electronic bills are sent to Jopari using Payer ID 20621.

For bills sent by mail, reference the information contained on the website: One Beacon: Medical Billing Addresses By State.

This short, free, and super-useful video demystifies Multiple Procedure Payment Reductions (MPPRs) for Physician and Non-Physician Practitioner Services in California.

In just eight minutes, you’ll know how to apply MPPRs for two or more workers’ comp procedures performed on the same day.

California’s State Compensation Insurance Fund (SCIF) stepped up and promised to fix all bills affected by its mistaken use of the 2018 Official Medical Fee Schedule.

The SCIF reprocessing, which will benefit both DaisyBill clients and non-clients alike, seems to stem directly from DaisyBill’s advocacy efforts.

Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review appeals.

Last year, to dispute an incorrect reimbursement or denied payment, DaisyBill clients submitted more than 123,400 Second Review appeals.

DaisyBill tracks California claims administrators and their respective clients to ensure that electronic bills are consistently routed to the correct payer for processing.

Watch the second installment in DaisyBill’s free educational video series on workers’ compensation billing.

This short video explains the different ways that an employer can handle its responsibility for paying for workers’ comp bills.

Last year, for facility bills submitted through DaisyBill payment was received, on average, in 17 days for the top 20 California workers’ comp claims administrators.

Unfortunately, that average exceeds the mandated maximum allowed for bills submitted electronically.

DaisyBill’s electronic billing software allows us to comprehensively compile data on every bill we process.