California Workers' Comp
Mar 31, 2022
Farmers Insurance: Winning "IBR Chicken”
California workers’ comp technically offers an appeals process for providers to dispute incorrect reimbursements. However, this appeals process actually encourages claims adm...
Mar 30, 2022
2022 CA OMFS Update: Physician Fee Schedule
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 ...
Mar 29, 2022
ESIS Unpaid Medical-Legal Bills
Alert: ESIS has failed to pay at least 7 bills for workers’ comp Medical-Legal services, despite acknowledging receipt of the bills in question. Further, attempting to...
Mar 28, 2022
2022 CA OMFS Update: DMEPOS
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
Mar 23, 2022
CA How-To: Get Penalty & Interest Paid
When a bill is not paid, doctors often ask, “What about penalties and interest?” In California workers’ comp, penalty and interest payments are — in theory at least — ...
Mar 22, 2022
PPO: No Provider Recourse for Unnamed Discounts
In California workers’ comp, the appeals process for disputing improper Preferred Provider Organization (PPO) reductions has a serious flaw.Routinely, Explanations of ...
Mar 21, 2022
CA Workers' Comp: Appeals Rigged to Profit Payers
When a claims administrator incorrectly reimburses a California workers’ comp provider, the mandated process for the provider to dispute the error (or purposeful theft) is co...
Mar 17, 2022
How to e-Bill: Clearinghouse/Payer IDs Are Key to Quick Payment
We often hear from (non-client) providers who report that electronic billing simply doesn’t work. However, data from our millions of quickly-paid e-bills...
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?
At daisyNews, we share workers’ comp billing updates, guides, advocacy, and more.But as a reader recently pointed out, daisyNews apparently neglects to share one cruci...
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...