Blog: DaisyNews

Workers' Comp News, Data, and Insights

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CPT 99358 - Maximus Correctly Rules in Favor of Provider (Hurray!)

Nov 18, 2019

In the past, DaisyBill has reported on many, many problems with Maximus Independent Bill Review (IBR) decisions for CPT code 99358. Today, we happily report that Maximus is n...

Convoluted Coding: Applied Underwriters Tries to Shortchange Provider

Nov 4, 2019

For anyone concerned by the lack of providers willing to treat injured workers, the following dark tale perfectly illustrates the reason so many providers flee workers’ comp....

IBR Stats Show Why Fighting Incorrect Reimbursement Is Worth It

Sep 6, 2019

In California, it can be entirely too difficult for providers to collect proper reimbursement for treating injured workers. Among the many reasons for this unfortunate realit...

IBR Appeal Analysis for CPTs 99358 & 99359

Feb 19, 2019

Reimbursements for CPTs 99358 & 99359 are tricky because payers frequently deny reimbursement for services that are not face-to-face with patients. Previously, we presented t...

Maximus Confirms Using Second Review Appeals to Correct Billing Errors

Feb 12, 2019

Correcting a coding error is as simple as submitting a Second Review appeal explaining the error. Last year, we discussed the convoluted process to correct billing err...

Maximus Blunders AGAIN with 99358 Decision and a Math Error

Sep 20, 2018

Maximus Federal Services, the entity responsible for conducting Independent Bill Review (IBR) on behalf of California’s Division of Workers’ Compensation (DWC), has once agai...

IBR Injustice: Maximus Mishandling 0232T Decisions

Sep 14, 2017

A client of DaisyBill recently brought to our attention another poor Independent Bill Review (IBR) by Maximus Federal Services, the entity the California Division of Workers’...

Maximus Gets It Wrong in 99358 IBR Decision

Aug 31, 2017

Maximus Federal Services, the arbiter of Independent Bill Review (IBR) for the California Division of Workers’ Compensation (DWC), has denied payment to a provider due to an ...

🔎 Search Thousands of IBR and IMR Decisions [New Tools!] 🔎

May 23, 2016

With two new workers’ comp tools, searching through past decisions just got a whole lot easier:DWC’s announces super-useful search tool for Independent Medical Review ...

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