California Workers' Comp
Aug 9, 2018
Clearinghouses Under the Microscope: StoneRiver P2P
Most claims administrators lack the technology to process electronic bills from providers. Instead, these claims administrators rely on clearinghouses. Since DaisyBill has di...
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 3, 2018
CA DWC Revises OMFS Update, Resolves MUE/Acupuncture Confusion
A recently adopted Medicare Medically Unlikely Edit (MUE) assigned a value of “0” to many common workers’ comp billing codes, including those for acupuncture services. Provid...
Aug 2, 2018
Details Matter: Always Keep Accurate Workers' Comp Bill History
When it comes to protecting your office’s revenue, maintaining detailed and accurate records is crucial. Especially when disputes over billing and payment arise, it’s often t...
Aug 1, 2018
OMFS Update: Reimbursement Change For Pathology and Clinical Laboratory Services
California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule, bringing the OMF...
Jul 27, 2018
Get Ready: WHO Releases Expanded, Electronic ICD-11
The World Health Organization (WHO) released an initial version of its 11th International Classification of Diseases and Related Health Problems (ICD-11). Vastly larger than ...
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Jul 26, 2018
RAND Wants Less Paperwork, More Reimbursement for CA Workers’ Comp Providers
The RAND Corporation thinks California workers’ comp providers are spending too much time on redundant paperwork — and getting too little compensation in return. The s...
Jul 25, 2018
Don’t Buy the Hype: Excessive Bill “Auditing” Hurts Workers’ Comp
At DaisyBill, we pride ourselves on helping providers obtain correct, consistent reimbursement for treating injured workers. But our mission to cut the waste and inefficiency...
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 16, 2018
CA DWC Seeks Public Comment on MTUS Updates
California’s Division of Workers’ Compensation seeks to update the state’s Medical Treatment Utilization Schedule (MTUS). The DWC wants to align the MTUS with recent and not-...
Jul 13, 2018
Qualifications, Schmualifications: CA Gov Appoints High School Classmate to WCAB
California Governor Jerry Brown recently appointed former chorus director Juan Pedro Gaffney to the Workers’ Compensation Appeals Board (WCAB).Gaffney was a classmate ...
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 ...