California Workers' Comp
Aug 21, 2017
Just In Time: Your Guide to the SB 1175 Billing Deadline
Last year, SB 1175 joined SB 1160 in a one-two punch of workers’ comp reform. Amidst the continuing brouhaha about liens and fraud prevention, we want to remind providers abo...
Aug 18, 2017
Discount Dangers, Part I: The Silent PPO
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...
Aug 16, 2017
DWC Closes Over 292,000 Liens per New Declaration Requirements
The California Division of Workers’ Compensation (DWC) just dismissed your lien if you did not comply with new Supplemental Lien Declaration requirements prescribed by last y...
Aug 14, 2017
In Case You Missed It: San Mateo and Sonoma Counties Change TPAs
Two California counties recently transferred their claims from Northern Claims Management to new administrators. Not surprisingly, communication about these changes was minim...
Aug 11, 2017
How MPNs Are Hurting Workers’ Comp
Last week on the blog, we argued that the RFA system in California workers’ comp is broken – it’s failing providers, and it’s restricting injured employees’ access to care. O...
Aug 9, 2017
Reminder: Secondary Treating Physician Reports Not Payable
Last month in this space, we covered reimbursement for the DWC Form PR-2, or the primary treating physician’s progress report. Since that time, we’ve received a number of que...
Aug 4, 2017
Why the RFA System Is Broken
Every day, we hear from frustrated providers across California who are struggling with their Requests for Authorization (RFAs). Their RFAs take too long to submit, and often ...
Aug 2, 2017
Hospital Outpatient Prospective Payment System: C-APC Explained
Yesterday on the blog, we described how Medicare’s adoption of Addendum B for the Hospital Outpatient Departments and Ambulatory Surgical Centers (ASCs) fee schedule moves th...
Aug 1, 2017
Hospital Outpatient Prospective Payment System: J1 Status Indicator Explained
Late last year, the Division of Workers’ Comp (DWC) drastically changed the reimbursement calculations used for Hospital Outpatient Departments and Ambulatory Surgical Center...
Jul 28, 2017
Kickbacks, Align, And The Burden Of Workers’ Comp Fraud
Another week, another round of headlines about California workers’ comp fraud. The latest news? A massive U.S. Department of Justice bust of 412 people accused of defrauding ...
Jul 27, 2017
Schedule Released For DaisyBillaroo
We’re just two months away from hosting our first workers’ comp billing conference, and we’re buzzing with excitement. We can’t wait to spend an entire day with leaders acros...
Jul 25, 2017
Comments Open For Revised Workers’ Comp Drug Formulary
When state legislators proposed a workers’ comp drug formulary back in 2015, they knew it would take some time to work out all the kinks. But legislators may not have foresee...