California Workers' Comp
Oct 6, 2014
Webinar Materials on Our FAQ
I really love our webinars (and I’m not being at all biased). I think they impart a lot of really good useful information while helping everybody in the workers’ comp communi...
Oct 2, 2014
MUEs Don't Apply to DME for Workers' Comp
There’s been a fair amount of confusion so let’s make this plain: medically unlikely edits (MUEs) do NOT apply to work comp durable medical equipment (DME) bills.On 9/...
Sep 25, 2014
Warning: The DWC's Pharmacy Fee Schedule Is Not Always Accurate
Every Wednesday the DWC updates the reimbursement amounts listed in the DWC’s Workers’ compensation pharmacy fee schedule - Simple prescription (Pharmacy Fee Schedule). Each ...
Sep 20, 2014
Providers, File Those Independent Bill Reviews (IBRs)!
Recently I heard Dr. Rupali Das speak at the CWC & Risk Conference--she’s the DWC Executive Medical Director. Her very interesting presentation started me thinking about work...
Sep 15, 2014
Correct Electronic Bill Processing, Part II: Second Bill Review
A couple of weeks ago I posted a walk-through of correct workers’ comp electronic bill processing, starting from the original electronic bill submission to rece...
Sep 6, 2014
Why Can't Broadspire Accept Electronic Second Bill Reviews?
The workers’ comp community has now had time to work its way through a substantial number of Second Bill Reviews (SBRs). Unfortunately, we here at DaisyBill find that some cl...
Sep 4, 2014
The Essential Guide to Correct Electronic Billing Processing
In advance of today’s webinar on electronic billing, I’m posting an example of electronic bill processing that we will be using in the webinar. This is the second time we’re ...
Aug 29, 2014
27 Claims Administrators That Still Require Faxing of Electronic Bills
California’s electronic billing mandate went into effect on October 18, 2012. This means that for over a year and a half, the DWC has required that claims administrators mus...
Aug 27, 2014
Workflow - Palooza! Request for Authorization and Second Bill Review
The workflows on here seem to be popular, so I’m posting a couple more from the webinars for Request for Authorization (RFA) and Second Bill Review (SBR). We have a lot of f...
Aug 22, 2014
Complete Life Cycle of an Electronic Bill
Today’s workflow tracks the entire electronic billing process from the original electronic bill through to the electronic EOR for an SBR. Note that if an original bill is el...
Aug 19, 2014
Electronic Billing Workflow with Rejection Information
Last week I posted the first of several workflows (I’ll post the rest this week and next week) showing how a workers’ comp electronic bill progresses through it...
Aug 14, 2014
Concise Electronic Billing Workflow
We gave a webinar today about electronic billing for CA workers' comp. It covered exactly how electronic billing works, as well as the various responsibilities of providers ...