California Workers' Comp

New! DaisyBill Cover Sheet for Workers' Comp Bills

In an effort to reduce the friction that typifies the workers’ comp billing and payment process, all bills for medical treatment sent by DaisyBill include a helpful updated c...

Download: Med-Legal "Superbill"

Medical-Legal billing for California workers’ comp is like…well, anything in California workers’ comp: a big mess.It’s convoluted, and physicians get nearly zero help ...

Berkshire Hathaway Refuses 892 Second Review Appeals

Berkshire Hathaway hath a way of defying California workers’ comp regulations, and refusing to pay doctors for authorized treatment provided to in...

JT2 Plays IBR Chicken (and Wins)

As we often point out, it can seem as if payers play a twisted game of IBR Chicken with doctors, reflexively denying bills and Second Review appeals only to change their mind...

10 Ways to Fix CA Workers' Comp

Today, the California Division of Workers’ Compensation (DWC) will host a virtual public meeting “to hear ideas to improve the efficiency and quality of care provided to inju...

Lien Chaos Returns: DWC Rules for Anthem (Part III)

California’s Division of Workers’ Compensation (DWC) has a duplicity problem. In the third chapter of our series on The Zenith and Anthem Blue Cross, we discover that ...

The Hartford Ignores TWO California Laws

By insisting The Hartford owed no payment for authorized treatment provided outside the Medical Provider Network (MPN), The Hartford pooh-poohed a clear-cut Cal...

PPO vs Network: Who's Taking Your Money?

We’ve told the story many times: a doctor signs a discount contract, hoping to bring in more patients. Almost immediately, revenue for treating injured workers is down across...

WCIRB: "Frictional" Workers' Comp Costs Soar in CA

Workers’ comp is wildly inefficient in California, according to the Workers’ Compensation Insurance Rating Bureau (WCIRB). The WCIRB used hard data to clearly d...

AIG & Coventry (and California) Squeeze QME

California Medical-Legal physician evaluators, be advised: some payers still attempt to improperly apply Preferred Provider Organization (PPO) discounts to Medical-Legal bill...

E/M: Not the PTP? How to Bill for Required Reports

For Evaluation and Management (E/M) in California workers’ comp, Primary Treating Physicians (PTP) must submit with the bill a progress report using either the ...

Record Review Sends Med-Legal Costs Soaring

Like a bored multi-billionaire, Medical-Legal expenses for California workers’ comp are needlessly approaching the stratosphere.Our data point to the pri...