California Workers' Comp

Modifier 93 for Examinations Requiring Interpreter Services: A DaisyBill Guide

Interpreters play a crucial role in workers’ comp treatment. By negating language barriers, interpreters remove a massive source of friction from an already friction-burdened...

OMFS Update Alert

The California Division of Workers’ Compensation (DWC) ordered new adjustments to the Official Medical Fee Schedule (OMFS), effective for services rendered on or after Octobe...

Claims Administrator Rectifies SBR Error

Pacific Claims Management responded to our August blog regarding misinformation about requests for Second Bill Review. daisyBill spoke with a Pacific representative, with who...

IBR Injustice: Maximus Mishandling 0232T Decisions

A client of daisyBill recently brought to our attention another poor Independent Bill Review (IBR) by Maximus Federal Services, the entity the California Division of Workers’...

Clearinghouse Makes False Claims About Electronic Billing

Multiple providers allege that a major clearinghouse fed them inaccurate information about electronic billing in California. According to these providers, the clearinghouse i...

New Patient Intake Form Available

A well-crafted intake form, targeted to the California Division of Workers’ Compensation (DWC)’s billing guidelines, is the provider’s first line of defense against incorrect...

DWC Database of Dismissed Liens Available

You may recall last month’s dismissal of over 292,000 unresolved liens by California’s Division of Workers’ Compensation (DWC). The DWC closed the lien cases for failure to c...

Maximus Gets It Wrong in 99358 IBR Decision

Maximus Federal Services, the arbiter of Independent Bill Review (IBR) for the California Division of Workers’ Compensation (DWC), has denied payment to a provider due to an ...

Discount Dangers: The CA Provider's Bill of Rights (Rights I and II)

Discount Dangers is a daisyBill series on the various ways discount contracts incorrectly reduce providers’ reimbursements. With this series, we shine a light on the worst di...

Billers Beware! Submit Second Reviews to Appeal Incorrect Payments

Recently a claims administrator gave a daisyBill client some horrible advice about appealing an incorrect payment. A representative at Pacific Claims Management, a thi...

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...

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...