California Workers' Comp
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...
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 ...
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...
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...
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...
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...
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 ...
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...
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...
Aug 6, 2014
Second Bill Reviews for Work Comp: Claims Admin Mistakes
A few days ago I posted examples of good and bad SBR EORs returned by claims administrators. Today I’m posting another SBR denial which shows two mistakes that claims admins...
Aug 4, 2014
Second Bill Reviews for Workers' Compensation
Last week we hosted a webinar on Second Bill Reviews (SBRs)--if you attended, thank you! I thought it would be interesting to re-post here some of the good and bad examples ...
Jul 28, 2014
Major Reimbursement Changes to Pharmaceuticals Fee Schedule
Effective July 16, 2014, the DWC updated the dispensed pharmaceuticals fee schedule, removing over 21,000 distinct NDC numbers. In fact, the DWC removed over 170,000 total en...