California Workers' Comp
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...
Jul 21, 2014
Average Days to Payment, March - June 2014
I’ve talked before about the data that DaisyBill can track for workers’ compensation claims administrators. As we’ve done a few times in the past, here’s a table that shows ...
Jun 17, 2014
Electronic Billing Statistics for Electronic Bills Submitted 1/1/2014 - 6/9/2014
DaisyBill has some exciting statistics for electronic billing that we want to share and it’s all good news!First, let’s give a big thanks to the DWC as they have been ...
Jun 9, 2014
Reduced Fees for Filing IBRs
Last week we reported on the fee reduction for filing an Independent Bill Review. We now have published confirmation and more details on fee reductions for both IBRs and Ind...
Jun 9, 2014
How Often Is a PR-2 Reimbursable?
Part of the job of the treating physician is to report on the patient's condition regularly via a PR-2 report (billed as WC0002). However, per the DWC, the payment for this ...
May 19, 2014
DaisyBill Partners with CMA for Webinars on Beginning Work Comp Billing
DaisyBill has partnered with the California Medical Association (CMA) to offer a free webinar series to providers and their staff on beginning work comp billing. The third in...
May 14, 2014
Confusion Over Work Comp Clearinghouses and Bill Review Companies
Claims Administrator: Employers Compensation Insurance Company Issue: Confusion over Employers’ clearinghouses and bill review companies Status: Open
Apr 29, 2014
Sedgwick Denying Bills with Incorrect Adjustment Reason Codes
Claims Administrator: Sedgwick Claims Management ServicesIssue: Inaccurate Adjustment Reason Codes contained in Sedgwick’s EOR denialsStatus
Apr 28, 2014
How Electronic Billing Works, Part II
Last time, we covered: What happens after providers hit "send" when transmitting electronic bills Why electronic bills get denied This time we discuss wh...
Apr 28, 2014
Liberty Mutual Incorrectly Denying Bills Using Explain Code B649
Claims Administrator: Liberty MutualIssue: Incorrect denial of billsStatus: OpenDescription: Recently, claims administrato...
Apr 28, 2014
Changes to OMFS: Pharmaceutical, DMEPOS, and Physician Fee Schedule
The DWC passed major changes to the workers’ compensation fee schedules, affecting reimbursements for pharmaceutical NDC numbers, DMEPOS, and splinting and casting Q codes. ...