California Workers' Comp
Jul 8, 2019
Magna Carta - Bills Not Processed
Providers, be aware that Magna Carta Companies (formerly PSM) ended its relationship with its bill review service, CorVel. More importantly, Magna Carta is not responding to ...
Jul 2, 2019
Claims Admins Deny Second Review Appeals as Duplicate Bills
Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...
Jun 25, 2019
CA Physician MUE Reimbursement Change as of 7/1/2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician Practit...
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Jun 20, 2019
Download Our CA Injured Worker Intake Form [New and Updated]
Easy workers’ comp billing starts with a thorough intake process.California’s Division of Workers’ Compensation (DWC) has strict billing and payment guidelines. For pr...
Jun 19, 2019
CA Physician Reimbursements INCREASE as of 7/1/2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician ...
Jun 13, 2019
CA Payors Put the Squeeze on Providers (Again)
In California, box 1a of the CMS 1500 billing form is for the injured worker’s Social Security Number (SSN). When the claims administrator insists the provider populate box 1...
Jun 6, 2019
Pro Tip: Submit RFAs During Liability Disputes
When the employer and injured worker are locked in an injury liability dispute, the provider is frequently caught in the crossfire. Often, treatment cannot wait for the long ...
May 30, 2019
Ultrasound Documentation: Images NOT Required
At DaisyBill, our clients ask us for help when claims administrators improperly deny reimbursement. Recently, our clients have reported that some claims administrators are de...
May 29, 2019
Let's Make This Clear: Workers' Comp Is Not Medicare
A recent post by Joe Paduda perpetuates the common but incorrect practice of analogizing workers’ comp to Medicare. In his discussion, Paduda notes that Medicare pays much le...
May 23, 2019
Recent ICD-10 Updates Do Not Apply to Workers' Comp Billing
The latest in dubious denial strategies for California workers’ comp: some claims administrators are denying provider bills for being out of step with updates to the current ...
May 17, 2019
Alert: More Unreasonable Physician Reporting Demands
When it comes to billing complications, some California payers are demanding documentation for time-based procedure codes; a demand that is unsubstantiated by California work...
May 15, 2019
SB 537: Physicians Should REVOLT Against Inequities
DaisyBill believes every California physician should be extremely alarmed by the proposed addition of Labor Code § 138.8 in SB 537. If passed as-is, § 138.8 would require the...