Blog: DaisyNews

Workers' Comp News, Data, and Insights

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IBR Stats Show Why Fighting Incorrect Reimbursement Is Worth It

Sep 6, 2019

In California, it can be entirely too difficult for providers to collect proper reimbursement for treating injured workers. Among the many reasons for this unfortunate realit...

Claims Admins EXPLOIT Lack of Regulations in Timely Filing Law

Sep 5, 2019

In 2016, California State Bill 1160 was signed into law, instituting new timely filing requirements for workers’ comp medical treatment bills. Since 2017, Labor Code Section ...

Technical Difficulties Trouble San Diego Bill Review Switch

Aug 26, 2019

The City of San Diego, a self-insured, self-administered California employer, is in the process of switching bill review services from Genex to Medata. The transition, though...
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South San Francisco, Marin County Change TPAs

Aug 23, 2019

Two municipal employers in California switched third-party administrators (TPAs). Both the City of South San Francisco and the County of Marin transferred claims from TriStar...

SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers

Aug 16, 2019

The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...

Select Staffing: Changes TPA and Claim Numbers

Aug 15, 2019

Attention California providers: Select Staffing no longer uses CorVel as its Third-Party Administrator (TPA).Effective July 1, 2019, Broadspire administers all claims ...

Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman

Aug 5, 2019

A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...

Berkshire Hathaway Fails to Process Second Review Appeals

Aug 1, 2019

Berkshire Hathaway Homestate Companies (BHHC) is failing to process electronic second review appeals, leaving providers in an unacceptable payment limbo. The insurer incorrec...

Costco, Home Depot, & Other Employers Should Be Mad as HEL*

Jul 29, 2019

Recently a provider shared a letter, apparently meant to intimidate, that it received from a Liberty Mutual Network Specialist, Peter Spalding. The letter threatened to kick ...

Mitchell Unresolved EOR Mess

Jul 17, 2019

A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...

TPA Change Alert: LA County Switches Claims Administrators

Jul 11, 2019

Effective July 1, 2019, the County of Los Angeles is no longer utilizing third-party claims administrator (TPA) TriStar Risk Management. Claims are transferred to eith...

CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/2019

Jul 10, 2019

In Newsline No.: 2019-53, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...

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