California Workers' Comp
May 11, 2018
Discount Dangers: The Provider’s Bill of Rights (Rights VI and VII)
Discount Dangers is a DaisyBill series on the ways discount contracts unscrupulously lower work comp providers’ reimbursements. With this series, we shine a light on the wors...
May 9, 2018
Medical-Legal Complexity Factors: Provider Requirements
Recently, a DaisyBill client faced unreasonable demands from a bill review regarding complexity factors for medical-legal billing code ML104. Fortunately, our client’s refusa...
May 8, 2018
Medical-Legal: When to Bill For Report Preparation
Medical-legal billing is a special kind of tricky. This unique subset of California workers’ comp has its own rules, its own fee schedule, and its own unique complicat...
May 4, 2018
Medical-Legal Fee Schedule: DWC Proposes New Amendments
The California Division of Workers’ Compensation (DWC) announced proposed amendments to the Medical-Legal Fee Schedule yesterday, May 3. The amendments would make sign...
May 3, 2018
DWC Orders Changes to OMFS Pathology/Clinical Lab Fees
The DWC posted an update order bringing the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule (OMFS) into line with Medicare.The order rem...
May 2, 2018
DME: Invoice Not Required for (Most) Durable Medical Equipment
Too often, we see claims administrators demand extraneous paperwork from providers, adding unnecessary friction to the workers’ comp billing and payment process. One example ...
Apr 27, 2018
CA Workers' Comp Alert: MTUS Drug Formulary Update
California’s Division of Workers’ Compensation (DWC) ordered an update to the state’s drug formulary, effective May 15. The update adds 20 drugs to the formulary and r...
Apr 25, 2018
3 Facts About Automatic Authorization for Workers’ Compensation
Recently, a DaisyBill client reached out with questions regarding automatic authorization. The source of the confusion was a slideshow presentation from the California Coalit...
Apr 23, 2018
Filter and Search CA MTUS Drug Formulary With New Tool
California’s new drug formulary isn’t exactly user-friendly. For that reason, we developed a new tool to make authorization for pharmaceuticals much, much easier. The ...
Apr 20, 2018
York Risk Services Must Treat CA Providers Better
DaisyBill strives to make workers’ comp billing and payment smoother for both providers and payors. We work with thousands of payors, including employers, insurers, an...
Apr 19, 2018
Audit Complaints Show Workers’ Comp Providers Face Uphill Battle
In California, workers’ compensation providers face a labyrinth of billing and payment rules, and these providers struggle with an enforcement structure that favors employers...
Apr 13, 2018
“By Report” Billing Codes: Best Practices for Proper Reimbursement
When the Official Medical Fee Schedule (OMFS) assigns the reimbursement for a procedure code as “By Report” (BR), establishing the correct payment amount is one of the tricki...