California Workers' Comp
Jan 28, 2021
ESIS & ABM Industries - IBR Hall of Shame
We continue to look at the misbehavior of ESIS, which yesterday entered the IBR Hall of Shame for its deplorable treatment of a provider who prevailed in two Independent Bill...
Jan 27, 2021
Is ESIS Gaming California's Work Comp System?
In this latest installment of the IBR Hall of Shame, we chronicle the never-ending payment torture inflicted on a provider who “wins” an Independent Bill Review (IBR). This i...
Jan 5, 2021
CA DWC: 2021 Fee Schedule Updates as of 1/5/2021
California workers’ comp fee schedules change on a regular basis, though not always on a precise schedule. This article sums up the late 2020 and early 2021 updates thus far ...
Nov 10, 2020
Data PROVES Electronic Billing for Workers' Comp Works
COVID-19 and our recent elections highlight the flaws, delays, and increasing creakiness of the US postal system. In 2020, as mail fails, electronic bill transmission offers ...
Oct 29, 2020
DWC Adopts 11 New Telehealth Service Codes
In a Newsline dated October 27, 2020, the California Division of Workers Compensation (DWC) announced the adoption of the updated Medicare List of Telehealth Services, which ...
Oct 28, 2020
CPT 99072 for Extra Time and Supplies for COVID-19
Medical practices, including practices that treat injured or sick workers, have implemented numerous changes to safely treat patients in person during the COVID-19 pandemic. ...
Oct 21, 2020
Broadspire Employers: Audit Complaint Filed With DWC
In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...
Oct 21, 2020
DaisyBill Automates Zurich Second Review Appeals
DaisyBill recently broke the story (after receiving multiple reports from the DaisyBill community and beyond) that Zurich has improperly denied California providers’ bills fo...
Oct 21, 2020
Telehealth: CMS Medicare Adds 11 New Telehealth Services
Effective 10/14/2020, the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) added 11 new services to the List of Telehealth Services that Medicare will reimb...
Oct 20, 2020
When Zurich Speaks, Garbled Noncompliance Comes Out
We are writing about Zurich again, as the claims administrator’s conduct continues to be a symptom of the deep unfairness that permeates California’s workers’ comp system. Th...
Oct 15, 2020
Zurich: Triples Down on Foul Play
Clearly Zurich fears no recourse as it continues to systematically ignore rules while stripping California providers of proper reimbursement. In this latest development, Zuri...
Oct 12, 2020
WorkCompEDI: Clearinghouse Fails Claims Administrators
On Friday, daisyBill took the unusual step of directly contacting dozens of California claims administrators. We wanted to enlist these organizations’ assistance to resolve a...