California Workers' Comp
Dec 4, 2017
Alert: Patriot National, Inc. and Guarantee Insurance Co. Threatened Collapse
Patriot National Inc., an end-to-end insurance services business that includes third-party administrator Patriot Risk Services, recently defaulted on its debt and laid off ab...
Dec 1, 2017
2018 Authorization/Utilization Review: Major Changes Effective 1/1/2018
Senate Bill 1160 makes significant changes to the authorization and utilization review (UR) process starting in 2018. New “fast-track” UR takes effect on January 1. Fa...
Nov 30, 2017
Billing Tip: Cumulative Trauma Date of Injury
Compliant billing is crucial for providers to obtain proper reimbursement for treating injured workers. One important, but occasionally tricky, aspect of compliant billing is...
Nov 29, 2017
Outpatient/ASC Coding: J1 Combinations and C-APC
No one said work comp billing was easy. In fact, we say just the opposite, all the time. That’s why we created DaisyBill, and why we do our best to offer as many helpful tips...
Nov 21, 2017
Why Work Comp Providers Need Specialized RCM
Workers’ compensation is different.It’s a labyrinth of legal and procedural twists, turns, and obstacles that don’t plague providers in other areas of medicine. When i...
Nov 17, 2017
Overpaid? Don't Rush to Return Payment to Claims Admin
Mistakes regarding the complex new Status Indicators have left some claims administrators scrambling to recover erroneous payments — even to the point of threatening provider...
Nov 16, 2017
5 Strategies to Prevent Denied Work Comp Bills
California does not make it easy for work comp providers to get paid. The time and effort necessary to obtain proper reimbursement is an unfortunate reality of a system weigh...
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...