California Workers' Comp
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...
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...