e-Billing
Jul 12, 2023
Tristar: 3,678 Audit Complaints Filed With CA DWC
Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity. Tristar failed to send electron...
Jun 26, 2023
e-EOR: Most Compliant Claims Admins 2023
Last week, we called out the 39 claims administrators that failed to adhere to California’s electronic Explanation of Review (e-EOR) requirement in 2023 so far. These claims ...
Jun 23, 2023
CA e-EOR (835) Compliance Report 2023
California workers’ comp has many complex rules — but one rule is pretty simple. When a provider transmits their workers’ comp bills electronically (e-bills), the claims admi...
May 31, 2023
CA Biller Shares Work Comp Payment Torture
At daisyNews, we write a lot about the reimbursement abuse inflicted on California workers’ comp providers. It can seem almost unbelievable how difficult it can be for provid...
May 10, 2023
MSQ Network - Payment Chaos
Today, Assembly Bill 1278 is being considered by the Appropriations Committee. This bill will grant barely-regulated network entities almost complete control over Medical Pro...
May 8, 2023
Audit Complaints: The Hartford Has No Excuse
Making workers’ comp more efficient and effective in restoring injured workers to health should be a cooperative effort among stakeholders, not a combative one. But when an o...
May 3, 2023
Hartford and P2P Fail CA e-Billing
California workers’ comp has lots of complicated laws, but one law is simple: claims administrators must accept electronic bills from providers. Since claims administr...
Apr 27, 2023
Sedgwick Racks Up 79,318 DWC Audit Complaints
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to ignore California workers’ comp billing regulations with impunity.Currently, Sed...
Mar 13, 2023
How to (Easily) Manage e-Bill Rejections
When electronic billing goes right (which is the vast majority of the time), there’s no faster way to get paid correctly for treating an injured worker. However, provi...
Mar 8, 2023
LA County to QME/AMEs: Go Back to Snail Mail
The year is 2023, and the County of Los Angeles wants Medical-Legal physicians to do business like it’s 1978. The public employer insists that QMEs and AMEs must mail ...
Mar 7, 2023
e-Bills: How To Send Workers' Comp Documentation
Millions of (rapidly) paid e-bills prove that electronic billing works for workers’ comp. But to send a workers’ comp e-bill, the provider needs the right tool ...
Mar 2, 2023
5 Myths About Workers' Comp e-Billing
So many doctors avoid worker’s comp, for understandable reasons. The problems are real and well-documented (especially on this blog). For many doctors, the cost/benefi...