California Workers' Comp
Oct 13, 2017
Are You Billing for Missed Work Comp Appointments?
You should be. A provider’s time may be their most valuable resource. The complexity of workers’ comp billing drains an absurd amount of that time, decreasing the retu...
Oct 12, 2017
Just in Time: RFA and Utilization Review Timeframe Requirements
In California, proper authorization is one of the most important factors for compliance in workers’ comp billing and payment. Legally, “authorization” is the insurer’s accept...
Oct 11, 2017
Stay Compliant: An Update on Modifier 93 for Exams Requiring Interpreter Services
Some insurers are making unreasonable demands regarding the application of modifier 93. Medical-legal providers use modifier 93 to bill for the extra time required to conduct...
Oct 6, 2017
The Provider’s Burden: Appealing Improper Reimbursements
Workers’ comp billing is hard enough. Four years ago, California passed strict requirements that providers must follow to appeal incorrect reimbursements from insurers...
Oct 5, 2017
In Case You Missed It: United Airlines Changes TPA
Self-insured employer United Airlines recently transferred workers’ compensation claims from Gallagher Bassett to a new third-party administrator. Sedgwick Claims Management,...
Oct 4, 2017
DWC Reconsiders Lien Declarations Filed July 2-3
When the California Division of Workers’ Compensation (DWC) mandated that lien claimants must file declarations asserting the validity of their liens, they weren’t kidding ar...
Oct 3, 2017
DaisyBillaroo Conference on Workers’ Comp Billing and Payment a Smash!
We had a fantastic time hosting our very first DaisyBillaroo Conference, the only conference devoted exclusively to California workers’ comp billing and payment. What a blast...
Sep 22, 2017
Modifier 93 for Examinations Requiring Interpreter Services: A DaisyBill Guide
Interpreters play a crucial role in workers’ comp treatment. By negating language barriers, interpreters remove a massive source of friction from an already friction-burdened...
Sep 20, 2017
OMFS Update Alert
The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective for services rendered on or after Octobe...
Sep 15, 2017
Claims Administrator Rectifies SBR Error
Pacific Claims Management responded to our August blog regarding misinformation about requests for Second Bill Review. DaisyBill spoke with a Pacific representative, with who...
Sep 14, 2017
IBR Injustice: Maximus Mishandling 0232T Decisions
A client of DaisyBill recently brought to our attention another poor Independent Bill Review (IBR) by Maximus Federal Services, the entity the California Division of Workers’...
Sep 8, 2017
Clearinghouse Makes False Claims About Electronic Billing
Multiple providers allege that a major clearinghouse fed them inaccurate information about electronic billing in California. According to these providers, the clearinghouse i...