California Workers' Comp
Mar 16, 2022
How to Identify PPO Reductions (Part I)
Daily, we hear from workers’ comp providers requesting help with identifying whether Pilfering Provider Organizations (aka: PPOs) are hijacking the funds intended to pay for ...
Mar 15, 2022
What Does daisyBill Do?
Our recent posts explaining how e-billing works, providing helpful updates, and (most of all) calling out Preferred Provider Organizations (PPOs) for turning workers’ comp in...
Mar 14, 2022
PPOs Force Doctors to "Pay-to-Play"
Whether in business, politics, or sports, forcing professionals to pay for the privilege of simply doing their jobs (aka “pay-to-play”) is indefensible. But arguably, ...
Mar 13, 2022
e-Billing Data 2021: Average Days To Payment
What’s the best way to quickly receive payment for treating an injured worker? Send the bill electronically (aka: e-billing). Throughout the United States, workers’ co...
Mar 8, 2022
Network CEO Exposes Triton/PCS Improper Discounts
In a revelation with severe implications for California workers’ comp, CEO Todd Breeden of America’s Choice Provider Network (ACPN) reported that Triton Healthc...
Mar 3, 2022
How to e-Bill: 277 "Receipts" Empower Providers
For workers’ comp providers, one of the most powerful advantages of e-billing is often overlooked: the mandated electronic “receipts” payers must send to providers verifying ...
Mar 2, 2022
Sedgwick EDI Alert: Correct Payer ID WX867
daisyBill is aware of confusion regarding the correct Payer ID providers should use when submitting e-bills to Sedgwick, a third-party administrator (TPA).<...
Mar 1, 2022
Triton Gouges Providers - Pays 78% of Medicare Rates
Triton Healthcare Partners and Apricus (formerly Preferred Care Solutions) are collaborating with other Preferred Provider Organization (PPO) entities to hijack payments from...
Feb 28, 2022
San Francisco Changes Bill Review, e-Bill Resubmissions Required
Starting February 28, 2022, Allied Managed Care replaces EK Health as the bill review vendor for the City and County of San Francisco (CCSF). Accordingly, providers must subm...
Feb 16, 2022
Broadspire's False & Misleading e-Billing Claims
Consider this a public service announcement: Broadspire representatives repeatedly gave false e-billing instructions to providers. Additionally, Broadspire representatives fa...
Feb 10, 2022
CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR
To help demystify California Medical-Legal record review billing code MLPRR, daisyBill published an MLPRR guide for California physician evaluators. Our ...
Feb 9, 2022
ESIS Refuses to Answer Phone or Pay Med-Legal Doctor
ESIS, a third-party administrator (TPA) for Ace American Insurance, is failing miserably in its legal duty to timely reimburse a California physician evaluator for Medical-Le...