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Blog: DaisyNews

Workers' Comp News, Data, and Insights

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City and County of San Francisco's Misleading Response in PPO Discount Dispute

Apr 5, 2021

Recently, a DaisyBill provider disputed a reduction in reimbursement from the City and County of San Francisco (CCSF) for treating an injured employee. In the Explanation of ...

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. 

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...

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...

Maximus & DWC Drop Ball on IBR Eligibility

Oct 22, 2019

California workers’ comp billing and payment regulations are a minefield of complications. That said, some rules are fairly simple, and should be immutable. For exampl...

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...

SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers

Aug 16, 2019

The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...

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 ...

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...

Maximus Creates IBR Delays With Impossible Demands

Aug 10, 2018

Maximus Federal Services, the private entity which conducts Independent Bill Review (IBR) on behalf of California’s Division of Workers’ Compensation (DWC), has always demons...

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