California Workers' Comp
Mar 27, 2023
CA MPN Access Requirements: Real or Mirage?
On paper, an MPN (Medical Provider Network) is simply a group of providers established by an insurer or self-insured employer; injured workers may only seek care from the pro...
Mar 24, 2023
CA OMFS Update: Physician Services (Q2 2023)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
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Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering. Three separate bills from the same provider to the same insurer...
Mar 20, 2023
Mirage Provider Networks: Sedgwick Can't Identify MPN
At this point, Medical Provider Networks (MPNs) can feel like little more than a cruel joke, offering seemingly ephemeral benefits to providers while exacting a heavy toll in...
Mar 17, 2023
The Hartford Fails Med-Legal 101 (F-)
Workers’ comp insurer The Hartford has a few very basic things to learn about Medical-Legal evaluations in California. Namely, that initial evaluations generally prece...
Mar 15, 2023
CPT 99358 & 99359: How to Appeal Payment Denials
In workers’ comp billing, some procedure codes are trickier than others.Two of the best examples are CPT codes 99358 and 99359, used by providers to report prolonged n...
Mar 13, 2023
How to (Easily) Manage e-Bill Rejections
When electronic billing goes right (which is the vast majority of the time), there’s no faster way to get paid correctly for treating an injured worker. However, provi...
Mar 8, 2023
LA County to QME/AMEs: Go Back to Snail Mail
The year is 2023, and the County of Los Angeles wants Medical-Legal physicians to do business like it’s 1978. The public employer insists that QMEs and AMEs must mail ...
Mar 7, 2023
e-Bills: How To Send Workers' Comp Documentation
Millions of (rapidly) paid e-bills prove that electronic billing works for workers’ comp. But to send a workers’ comp e-bill, the provider needs the right tool ...
Mar 2, 2023
5 Myths About Workers' Comp e-Billing
So many doctors avoid worker’s comp, for understandable reasons. The problems are real and well-documented (especially on this blog). For many doctors, the cost/benefi...
Feb 27, 2023
CA Employees: ASAP, Predesignate Your MD
The problem: California employers and workers’ comp insurers restrict care, by limiting injured workers to doctors within the applicable Medical Provider Network (MPN). For a...
Feb 22, 2023
CPT 99358 & 99359: Payable in 2023
California workers’ comp billing is complicated — but that’s what daisyBill is here for.Effective February 15, 2023, an update to the Official Medical Fee Schedule (OM...