California Workers' Comp

Warning: The DWC's Pharmacy Fee Schedule Is Not Always Accurate
Sep 25, 2014
Warning: The DWC's Pharmacy Fee Schedule Is Not Always Accurate
Every Wednesday the DWC updates the reimbursement amounts listed in the DWC’s Workers’ compensation pharmacy fee schedule - Simple prescription (Pharmacy Fee Schedule). Each ...
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Sep 20, 2014
Providers, File Those Independent Bill Reviews (IBRs)!
Recently I heard Dr. Rupali Das speak at the CWC & Risk Conference--she’s the DWC Executive Medical Director. Her very interesting presentation started me thinking about work...
Correct Electronic Bill Processing, Part II: Second Bill Review
Sep 15, 2014
Correct Electronic Bill Processing, Part II: Second Bill Review
A couple of weeks ago I posted a walk-through of correct workers’ comp electronic bill processing, starting from the original electronic bill submission to rece...
Why Can't Broadspire Accept Electronic Second Bill Reviews?
Sep 6, 2014
Why Can't Broadspire Accept Electronic Second Bill Reviews?
The workers’ comp community has now had time to work its way through a substantial number of Second Bill Reviews (SBRs). Unfortunately, we here at DaisyBill find that some cl...
The Essential Guide to Correct Electronic Billing Processing
Sep 4, 2014
The Essential Guide to Correct Electronic Billing Processing
In advance of today’s webinar on electronic billing, I’m posting an example of electronic bill processing that we will be using in the webinar. This is the second time we’re ...
27 Claims Administrators That Still Require Faxing of Electronic Bills
Aug 29, 2014
27 Claims Administrators That Still Require Faxing of Electronic Bills
California’s electronic billing mandate went into effect on October 18, 2012.  This means that for over a year and a half, the DWC has required that claims administrators mus...
Workflow - Palooza! Request for Authorization and Second Bill Review
Aug 27, 2014
Workflow - Palooza! Request for Authorization and Second Bill Review
The workflows on here seem to be popular, so I’m posting a couple more from the webinars for Request for Authorization (RFA) and Second Bill Review (SBR).  We have a lot of f...
Complete Life Cycle of an Electronic Bill
Aug 22, 2014
Complete Life Cycle of an Electronic Bill
Today’s workflow tracks the entire electronic billing process from the original electronic bill through to the electronic EOR for an SBR.  Note that if an original bill is el...
Electronic Billing Workflow with Rejection Information
Aug 19, 2014
Electronic Billing Workflow with Rejection Information
Last week I posted the first of several workflows (I’ll post the rest this week and next week) showing how a workers’ comp electronic bill progresses through it...
Concise Electronic Billing Workflow
Aug 14, 2014
Concise Electronic Billing Workflow
We gave a webinar today about electronic billing for CA workers' comp.  It covered exactly how electronic billing works, as well as the various responsibilities of providers ...
The Hartford: Hurray for Responsible Claims Administrators
Aug 11, 2014
The Hartford: Hurray for Responsible Claims Administrators
I complain a lot — there’s a lot to complain about — but that’s because a malfunctioning work comp system hurts workers, employers, providers, insurers and, yes, even taxpaye...
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Aug 11, 2014
DaisyBill Article Featured in CMA Newsletter
Part two of our two-part series on the importance of timely and effective second bill reviews was published in the California Medial Associations's Practice Resources (CPR) n...