California Workers' Comp

DWC Changes 95% of Path/Lab Reimbursements

It’s the most wonderful time of the year to be a California workers’ compensation blogger – the changes just keep coming. In today’s update, we take a look at the new adjustm...

The DWC, the Physician Fee Schedule, and Align Networks

The start of the new year is always a hectic time in the world of California workers’ compensation. Often prior to January 1st, California’s Division of Workers’ Compensation...

92% of DMEPOS Reimbursements to Change in 2017

2017 is almost upon us, and the Division of Workers’ Compensation (DWC) is ringing in the new year with an adjustment to the Official Medical Fee Schedule (OMFS). The new ord...

Four Year Flubs: Some Claims Administrators Still Reject Electronic Billing

Let’s start with some old news: Since October 2012, California claims administrators must accept electronic billing for workers’ compensation bills. Fast-forward four years, ...

Audit Complaints: Making Things Right in Workers’ Comp

California claims administrators have certain responsibilities when it comes to processing bills. They must issue timely and complete Explanations of Review (EORs) and paymen...

Authorization and Declaration II: More on RFAs and Liens Under SB 1160

You already know Requests for Authorization (RFAs) as the single most effective tool for guaranteeing payment. Now RFAs play a vital role in lien declaration, as well....

Authorization and Declaration: RFAs and Liens Under SB 1160 (Part I)

It’s something like a motto around here: Billing success starts with authorization success. Submitting a Request for Authorization (RFA) is the best investment a provider can...

A Year Later, San Bernardino Victims Face Work Comp Struggle

A flurry of recent media attention brought light to the struggle for treatment endured by victims of last year’s San Bernardino terrorist attack.¹ On the first anniversary of...

Submit Me Baby One More Time: Second Review Payment Data

Have you heard? We’re coming up on a major milestone. In a matter of days, daisyBill clients will reach $15,000,000 in additional revenue generated from Second Reviews (SBRs)...

Claims Administrator Days to Payment Q1 – Q3

So you’ve filled out all the required fields in daisyBill and clicked ‘submit’ on your bill. End of story? Not a chance. For us, that’s just the beginning.From ...

Network News: Introducing Our Searchable MPN Spreadsheet

Medical Provider Networks (MPNs) are a pain. We've had a lot of questions about these organizations, and for good reason – they're notoriously tricky to understand, and avail...

Lien Machine: Mastering the New Lien Declaration in Senate Bill 1160

The ink has dried and the dust is settling – the workers’ comp reforms in Senate Bill 1160 are here to stay. Chances are you’ve heard about these changes by now. SB 11...