medical-legal

Farmers Insurance: Winning "IBR Chicken”
Mar 31, 2022
Farmers Insurance: Winning "IBR Chicken”
California workers’ comp technically offers an appeals process for providers to dispute incorrect reimbursements. However, this appeals process actually encourages claims adm...
ESIS Unpaid Medical-Legal Bills
Mar 29, 2022
ESIS Unpaid Medical-Legal Bills
Alert: ESIS has failed to pay at least 7 bills for workers’ comp Medical-Legal services, despite acknowledging receipt of the bills in question. Further, attempting to...
CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR
Feb 10, 2022
CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR
To help demystify California Medical-Legal record review billing code MLPRR, daisyBill published an MLPRR guide for California physician evaluators. Our ...
ESIS Refuses to Answer Phone or Pay Med-Legal Doctor
Feb 9, 2022
ESIS Refuses to Answer Phone or Pay Med-Legal Doctor
ESIS, a third-party administrator (TPA) for Ace American Insurance, is failing miserably in its legal duty to timely reimburse a California physician evaluator for Medical-Le...
CA Med-Legal Reports: REQUIRED Physician Verification
Feb 7, 2022
CA Med-Legal Reports: REQUIRED Physician Verification
Last spring, California introduced a new Medical-Legal Fee Schedule (MLFS). Since April 2021, daisyBill clients have submitted over 80,000 medical-legal bills where the new M...
MLPRR: Costco/Helmsman Play Med-Legal IBR Chicken
Feb 4, 2022
MLPRR: Costco/Helmsman Play Med-Legal IBR Chicken
Call it “IBR Chicken: MLPRR Edition.” Third-party claims administrator (TPA) Helmsman, acting on behalf of self-insured employer Costco, refused to reimburse a physici...
Med-Legal MLPRR: CorVel Caps Units - Review EORs Carefully
Feb 3, 2022
Med-Legal MLPRR: CorVel Caps Units - Review EORs Carefully
California released an updated Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective April 1, 2021. Physicians had high hopes that the update, which introduc...
Costco: Helmsman Tries to Skirt Missed Appointment Fee
Jan 30, 2022
Costco: Helmsman Tries to Skirt Missed Appointment Fee
Denying payment to a Medical-Legal physician by falsely deeming a service non-compensable is a common — and contemptible —  transgression. But Helmsman Management Serv...
Med-Legal Emergency Regulations Extended
Jan 28, 2022
Med-Legal Emergency Regulations Extended
The California Division of Workers’ Compensation (DWC) recently announced that the proposed Qualified Medical Evaluator (QME) Emergency Regulation found in California Code of...
Med-Legal Data: MLPRR Charges Continue to Climb
Jan 21, 2022
Med-Legal Data: MLPRR Charges Continue to Climb
California Medical-Legal record review expenses soared into the wide blue yonder after the Division of Workers’ Compensation (DWC) updated the Medical Legal Fee...
MLPRR: Record Review Guide for CA Med-Legal MDs
Jan 20, 2022
MLPRR: Record Review Guide for CA Med-Legal MDs
Millions of pages. Millions of dollars. Potentially serious consequences for non-compliance.Medical-Legal record review can be a big challenge for physician evaluators...
Download: Med-Legal "Superbill"
Dec 8, 2021
Download: Med-Legal "Superbill"
Medical-Legal billing for California workers’ comp is like…well, anything in California workers’ comp: a big mess.It’s convoluted, and physicians get nearly zero help ...