IBR

CA Alert: Unsolicited Email Not From Maximus

Heads up, California providers. A daisyBill client alerted our staff to a strange email bearing the logo of Maximus Federal Services, the private organization entrusted by th...

Tristar Flouts Law - How Long Will IBR Take?

Tristar Risk Management seems extra comfortable ignoring payment laws and regulations, even by the woeful standards of California workers’ comp. As a result, daisyCollect has...

CA IBR: Why Are Claims Admins Redacted From Decisions?

Accountability is critical to the functioning of any system, especially one upon which the health of injured workers depends. So we’re compelled to ask a question that’s been...

Untimely IBR Decisions - DWC Ignores CA Law

Recently, we shared the numbers demonstrating the absurd (and unlawful) lengths of time for which the Division of Workers’ Compensation (DWC) forces providers to wait for an ...

DWC Repeatedly Violates CA IBR Law

California fails to maintain a workers’ comp environment that’s fair and navigable for providers (you know, the people who treat the injured workers). Prime example: the Divi...

Gallagher Bassett Plays IBR Chicken With QME

Gallagher Bassett seemingly tried its hand at the game of IBR Chicken, forcing a Qualified Medical Evaluator (QME) to waste time, money, and resources on a needless dispute —...

SCIF Makes Mockery of IBR and the DWC

Yet again, we face another appalling round of "IBR Chicken,” the game in which a claims administrator refuses to shell out a dime to a California provider for services render...

Sedgwick Loses IBR (But Still Wins "IBR Chicken")

You can’t say we didn’t try.Earlier this month, we offered Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. 100% free use of our daisyWizard f...

CPT 99358 & 99359: How to Appeal Payment Denials

In workers’ comp billing, some procedure codes are trickier than others.Two of the best examples are CPT codes 99358 and 99359, used by providers to report prolonged n...

Med-Legal IBR Data: A Bad Look for Sedgwick & CA

California appears to turn a willfully blind eye to what seems like an abuse of the Independent Bill Review (IBR) system for Medical-Legal disputes.Data ...

Med-Legal Data: IBR Is the QME/AME's Friend

California workers’ comp presents serious challenges to physicians — and Medical-Legal physicians are no exception. Despite a recently simplified Medical-Legal Fee Sch...

CA QME Calls Out Cannon Cochran "Abuse and Insults"

A California Qualified Medical Evaluator (QME) has had quite enough nonsensical reimbursement games from Cannon Cochran Management Services, Inc. (CCMSI).The Third-Par...