Blog: DaisyNews

Workers' Comp News, Data, and Insights

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California IBR Fee Reduced Effective January 2020

Mar 5, 2020

Finally, some good news about Independent Bill Review (IBR)! Effective January 1, 2020, the required filing fee for providers requesting IBR dropped from $195 to $180. 

Benihana AND Broadspire Join IBR Hall of Shame

Feb 26, 2020

In this entry in the IBR Hall of Shame, we surface still another example of a workers’ comp claims administrator clearly not understanding, or not complying with, and/or just...

SCIF Tantrum Subverts the IBR Process

Nov 25, 2019

Few behaviors induce more cynicism than when claims administrators ask providers to withdraw requests for Independent Bill Review (IBR) in exchange for correct payment. Appar...

The Zenith Unsucessfully Attempts to Undermine IBR Request

Oct 14, 2019

Claims administrators continue to innovate new techniques that make it harder for providers to receive proper reimbursement. In this installment, we tell a tale of the length...

Liberty Mutual and a Cautionary Tale of Payment Woes

Oct 3, 2019

Today we’re sharing a maddening and all-too-common story of payment woes, this time featuring Liberty Mutual as the miscreant that just won’t pay a bill correctly -- despite ...

Liberty Mutual, Gallagher Bassett, Chubb Scoff at CA IBR Rules

Sep 4, 2019

It’s still happening: claims administrators including Liberty Mutual, Gallagher Bassett, and Chubb are ignoring the rules regarding Independent Bill Review (IBR), brazenly re...

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...

Liberty Mutual IBR Noncompliance: Unfair and Odious

Apr 17, 2019

After 124 days and 13 phone calls, Liberty Mutual fails to pay a $195 IBR fee ordered by Maximus. Employers need to take heed of this unlawful tale and make sure that ...

SCIF IBR Disputes Are Further Proof of Provider Reimbursement Chaos

Mar 7, 2019

We are again chronicling the reimbursement pandemonium inflicted on providers by the current California Second Review appeal and Independent Bill Review (IBR) processes.

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...

CA Claims Admins Fail to Comply With IBR Rules

Sep 7, 2018

When the Independent Bill Review (IBR) process overturns a claims administrator’s incorrect denial or adjustment, the claims administrator is legally bound to timely pay what...

E/M Services Denied for Insufficient Documentation

May 30, 2018

Increasingly, claims administrators are no longer downcoding evaluation and management (E/M) services. Instead, many claims administrators are denying charges for E/M service...

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