California Workers' Comp

Broadspire's False & Misleading e-Billing Claims
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...
CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR
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 ...
ESIS Refuses to Answer Phone or Pay Med-Legal Doctor
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...
CA DWC Rigs IBR and Helps SCIF
Feb 8, 2022
CA DWC Rigs IBR and Helps SCIF
A doctor treated a California injured worker. Subsequently, in an apparent attempt to avoid paying for the treatment, the State Compensation Insurance Fund deni...
CA Med-Legal Reports: REQUIRED Physician Verification
Feb 7, 2022
CA Med-Legal Reports: REQUIRED Physician Verification
Last spring, California introduced a new Medical-Legal Fee Schedule (MLFS). Since April 2021, daisyBill clients have submitted over 80,000 medical-legal bills where the new M...
Homelink Introduces 2% Paper Billing Fee
Feb 6, 2022
Homelink Introduces 2% Paper Billing Fee
Even before factoring in supplies, lost paperwork, and wasted time, the cost of sending non-electronic workers’ compensation bills is climbing. As of February 1, netwo...
Credit Card Payments Steal Money From Doctors
Feb 5, 2022
Credit Card Payments Steal Money From Doctors
Sometimes, the smaller ways in which payers loot California workers’ comp doctors are the most frustrating. For example, payments sent to providers in the form of a “c...
MLPRR: Costco/Helmsman Play Med-Legal IBR Chicken
Feb 4, 2022
MLPRR: Costco/Helmsman Play Med-Legal IBR Chicken
Call it “IBR Chicken: MLPRR Edition.” Third-party claims administrator (TPA) Helmsman, acting on behalf of self-insured employer Costco, refused to reimburse a physici...
Med-Legal MLPRR: CorVel Caps Units - Review EORs Carefully
Feb 3, 2022
Med-Legal MLPRR: CorVel Caps Units - Review EORs Carefully
California released an updated Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective April 1, 2021. Physicians had high hopes that the update, which introduc...
Athens Admin Pays $0.51 for Firefighter's Treatment
Feb 1, 2022
Athens Admin Pays $0.51 for Firefighter's Treatment
We do our best to give folks the benefit of the doubt here at daisyBill. However, we can only presume that Athens Administrators deemed the authorized treatment admini...
DWC Public Hearing: Copy Service Fee Schedule
Jan 29, 2022
DWC Public Hearing: Copy Service Fee Schedule
Have thoughts to share with the Division of Workers’ Compensation (DWC) regarding proposed changes to the Copy Service Fee Schedule? Mark your calendar. The DWC will hold a p...
Med-Legal Emergency Regulations Extended
Jan 28, 2022
Med-Legal Emergency Regulations Extended
The California Division of Workers’ Compensation (DWC) recently announced that the proposed Qualified Medical Evaluator (QME) Emergency Regulation found in California Code of...