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Blog: DaisyNews

Workers' Comp News, Data, and Insights

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Zurich Refuses to Pay for Emergency Treatment

Oct 14, 2021

In a medical emergency, a doctor treats first and asks questions later. But in response to a medical emergency, Zurich refused to pay a doctor for suturing a lacerated finger...

CA Med-Legal Reporting Deadline Extension Official

Oct 6, 2021

California’s Division of Workers’ Compensation (DWC) has officially extended emergency regulations which add 15 days to the usual time frame for Medical-Legal reporting.

Coming Soon: CA Med-Legal Billing Data

Sep 30, 2021

There’s only one way to understand, navigate, and improve workers’ compensation: by the numbers.Since the introduction of the new Medical-Legal Fee Schedule (MLFS) in ...

PPO Data Update: The Toll on CA Doctors Who Treat Injured Workers

Sep 29, 2021

DaisyBill’s California OMFS Reimbursement Reduction page tracks in minute detail the data around Preferred Provider Organization (PPO) and other discount contracts. Now, we’v...

TPA Changes: City of Alameda, Torrance Unified Schools

Sep 28, 2021

Two California public employers switched third-party administrators (TPA) recently, affecting bills for all dates of service. The City of Alameda and the Torrance Unified Sch...

Pasadena Is (Still) Violating CA Workers' Comp Law

Sep 27, 2021

As costs skyrocket, physicians flee the system, and injured workers find it harder and harder to find a doctor willing to treat them, California workers’ comp has yet to reck...

Dollar Tree Stores/Sedgwick Refuse Payment for Authorized Treatment

Sep 21, 2021

Authorization is, by definition, a promise.It’s the promise that, once a doctor obtains authorization from an employer to treat an injured worker, the employer will pa...

Med-Legal Reports: Always Include Page Count Verification!

Sep 16, 2021

California’s new Medical-Legal Fee Schedule (MLFS), effective from April 2021, brought with it new rules for reporting, billing, and payment. Among those rules: when submitti...

SCIF Hacks IBR by Switching (Incorrect) Denial Reason

Sep 15, 2021

There’s a serious inequity in the appeals process by which California workers’ comp providers can dispute incorrect reimbursement for authorized treatment. State Compensation...

A Doctor's Warning: PPOs "Helped Close Our Doors"

Sep 14, 2021

Recently we received an email from a retired California doctor. This doctor, after 35 years treating injured workers, was unable to sell his practice — because no other provi...

AIG: Improper (but Logical) Med-Legal Underpayment

Aug 25, 2021

AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who ...

CA Cheat Sheet: Required Reports & Supporting Documentation for Workers' Comp Bills

Aug 19, 2021

In California, when submitting a bill for treating an injured worker, it’s imperative to include the correct documentation to support the treatment. If the provider fails to ...

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