California Workers' Comp

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...

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...

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...

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 ...

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...

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...

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...

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...

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...

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...

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...

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,...