California Workers' Comp
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...
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...
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...
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...
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...
Jan 25, 2022
Anthem, CorCare Loot MD - Paying ONLY 5-6% OMFS
As employers vocally complain that their injured employees struggle to find doctors, California legislators allow Preferred Provider Organizations (PPOs) to reap huge profits...
Jan 24, 2022
Gallagher Bassett Bounces Foster Farms Check
You read that headline right.Doctors may need to pin a notice on the wall next to the cash register, as a warning that Gallagher Bassett, a third-party claims administ...
Jan 23, 2022
Gallagher Bassett (Zurich) Check Bounces
Gallagher Bassett is having a rough — and embarrassing — week. After bouncing a check for Foster Farms, the third-party claims administrator (TPA) bounced another, bigger che...
Jan 21, 2022
Med-Legal Data: MLPRR Charges Continue to Climb
California Medical-Legal record review expenses soared into the wide blue yonder after the Division of Workers’ Compensation (DWC) updated the Medical Legal Fee...
Jan 20, 2022
MLPRR: Record Review Guide for CA Med-Legal MDs
Millions of pages. Millions of dollars. Potentially serious consequences for non-compliance.Medical-Legal record review can be a big challenge for physician evaluators...
Jan 19, 2022
DWC Adopts New Telehealth Code List
On January 5, 2022, the Centers for Medicare and Medicaid Services (CMS) released revisions to the list of Medicare Physician Fee Schedule Telehealth Codes. In ...
Jan 13, 2022
Berkshire Hathaway: DWC Targeted Audit Needed ASAP
As Berkshire Hathaway HomeState Companies (BHHC) persists in its failure to compliantly process thousands of valid Second Review appeals, the California Divisio...