California Workers' Comp
Nov 15, 2017
Coding Clinic: How to Bill for Evaluation & Management Services
As the Centers for Medicare and Medicaid Services (CMS) like to say, “If it is not documented, it has not been done.” Of course, documenting can be just as painstaking as the...
Nov 10, 2017
How It Works: Independent Medical Review (IMR)
When the claims administrator representing the insurance company, employer, or TPA denies a valid, compliant Request for Authorization (RFA), what’s a work comp provider to d...
Nov 9, 2017
FYI: Claims Admin Not Required to Use RFA Form
A provider’s office recently asked if claims administrators must sign and return the Division of Workers’ Compensation (DWC)’s official RFA form when approving the requested ...
Nov 3, 2017
Why Work Comp Electronic Bills Need Multiple Clearinghouses
Here’s a question we often get: “Our office sends our electronic bills to a clearinghouse. Why do so many of them never reach the insurance carrier?” Clearinghouses cl...
Oct 31, 2017
Reports: The Metrics that Matter for Work Comp Providers
At DaisyBill, we recognize that providers are running a business. For injured workers to get the care to which they’re entitled by California law, provider offices cou...
Oct 30, 2017
Payor Rankings: Our Biggest Work Comp Payors
Our mission is simple: to take the hassle out of California workers’ comp. We want providers to treat injured workers with full confidence in their ability to obtain proper r...
Oct 27, 2017
DWC’s Proposed Denial of Claims Notice Lacks Clarity
When an employer denies an employee’s workers’ comp claim, California law mandates that the employer must inform the employee of their right to seek medical treatment outside...
Oct 26, 2017
Payor Rankings: The Slowest-Paying Work Comp Claims Administrators
We believe that accountability is an important aspect of the fight for proper reimbursement. To that end, we track the time claims administrators take to pay our work comp pr...
Oct 24, 2017
Payor Rankings: The Fastest-Paying Work Comp Claims Administrators
As our clients know, DaisyBill tracks the time claims administrators take to pay our providers. Compiling this data is part of our mission to help work comp providers obtain ...
Oct 20, 2017
Discount Dangers: Specialty Networks Are the Barnacles of Work Comp
Discount Dangers is a DaisyBill series on the various ways discount contracts cheat workers’ comp providers out of reimbursement. With this series, we shine a light on the wo...
Oct 19, 2017
How It Works: Independent Bill Review (IBR)
Think about what workers' comp providers go through to obtain correct payment for treating injured workers. Compliant authorization and billing are taxing enough. Appealing i...
Oct 17, 2017
The Parity Problem: How Work Comp Favors Insurers Over Providers
In disputes over payment in the California workers’ compensation system, insurers have an unfair advantage over providers. At every stage of the billing process, the b...