California Workers' Comp
Apr 26, 2022
CA MPNs: 10 Facts About Monetized Provider Networks
It is crucial for doctors to understand both how California Medical Provider Networks (MPNs) operate to restrict doctors from treating injured workers and how some “entities”...
Apr 21, 2022
Alert: Mitchell Hustles Providers for Liberty Mutual
Providers, be warned: Mitchell International, a company offering “workers’ compensation bill review & claims management services,” seems to be playing the hustler on behalf o...
Apr 19, 2022
Med-Legal IBR: Maximus Denies Documented Interpreter Reimbursement
In a perfect example of California’s failing Independent Bill Review (IBR) process, Maximus (California’s designated IBR organization) abandoned all semblance of lawfulness a...
Apr 18, 2022
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Berkshire Hathaway Homestate Companies (BHHC) is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers...
Apr 17, 2022
Berkshire Hathaway Ignores CA e-Billing Mandate
Berkshire Hathaway Homestate Companies (BHHC) consistently fails to comply with basic workers’ comp electronic billing mandates. In that failure, BHHC undermines the purpose ...
Apr 15, 2022
AmTrust: Serious Violation of CA e-Billing Law
AmTrust North America refuses to comply with the most basic workers’ comp electronic billing mandates. In that refusal, AmTrust completely undermines the purpose of workers’ ...
Apr 13, 2022
AmTrust: 31,514 Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
Apr 7, 2022
CA Med-Legal: How to Appeal Unpaid AME Modifier -94
Regularly, California workers’ comp claims administrators incorrectly deny Medical-Legal Fee Schedule (MLFS) modifier -94 for Agreed Medical Evaluator (AME) services. In this...
Apr 6, 2022
How to e-Bill: 835 Electronic EORs
California law mandates that when a provider bills electronically for workers’ comp services, the claims administrator must timely send the provider an electronic Explanation...
Apr 6, 2022
Claims Admin Directory: Average Days to Pay Explored
Perhaps the biggest challenge facing workers’ comp providers in California and across the US: getting paid on time. Inconsistent cash flow can back up accounts receiva...
Apr 5, 2022
Broadspire’s Confusing, Erroneous Letters to Providers
In a classic case of the left hand not knowing what the right is doing, Broadspire processed and paid providers’ e-bills, then subsequently, Broadspire sent those prov...
Apr 3, 2022
Join daisyBill at RIMS 2022 Conference
The RIMS 2022 RiskWorld Annual Conference and Exhibition is just around the corner — and daisyBill will be there!From April 10 to 13, conference attendees can swing by...