Blog: DaisyNews

Workers' Comp News, Data, and Insights

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NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional

Aug 8, 2019

As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...

Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman

Aug 5, 2019

A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...

Costco, Home Depot, & Other Employers Should Be Mad as HEL*

Jul 29, 2019

Recently a provider shared a letter, apparently meant to intimidate, that it received from a Liberty Mutual Network Specialist, Peter Spalding. The letter threatened to kick ...

Mitchell Unresolved EOR Mess

Jul 17, 2019

A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...

TPA Change Alert: LA County Switches Claims Administrators

Jul 11, 2019

Effective July 1, 2019, the County of Los Angeles is no longer utilizing third-party claims administrator (TPA) TriStar Risk Management. Claims are transferred to eith...

Magna Carta - Bills Not Processed

Jul 8, 2019

Providers, be aware that Magna Carta Companies (formerly PSM) ended its relationship with its bill review service, CorVel. More importantly, Magna Carta is not responding to ...

Claims Admins Deny Second Review Appeals as Duplicate Bills

Jul 2, 2019

Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...

Pro Tip: Submit RFAs During Liability Disputes

Jun 6, 2019

When the employer and injured worker are locked in an injury liability dispute, the provider is frequently caught in the crossfire. Often, treatment cannot wait for the long ...

Recent ICD-10 Updates Do Not Apply to Workers' Comp Billing

May 23, 2019

The latest in dubious denial strategies for California workers’ comp: some claims administrators are denying provider bills for being out of step with updates to the current ...

SB 537: Physicians Should REVOLT Against Inequities

May 15, 2019

DaisyBill believes every California physician should be extremely alarmed by the proposed addition of Labor Code § 138.8 in SB 537. If passed as-is, § 138.8 would require the...

Ventura Unified School District Is No Longer Using York

May 14, 2019

Ventura Unified School District is no longer using York to process medical bills.  Effective 5/1/2019, Athens will be handling all claims for the Ventura Unified Schoo...

The Conco Companies Changes TPA

May 9, 2019

The Conco Companies is no longer using Athens as its Third Party Administrator (TPA). Effective 4/1/2019, Travelers will be handling all claims for The Conco Companies...

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