medical-legal
May 17, 2018
No Response? How to Deal with Ignored Bills
It happens far too often: providers treat an injured worker for a California employer, send the bill to the claims administrator, and then...nothing. Workers’ comp is ...
May 9, 2018
Medical-Legal Complexity Factors: Provider Requirements
Recently, a DaisyBill client faced unreasonable demands from a bill review regarding complexity factors for medical-legal billing code ML104. Fortunately, our client’s refusa...
May 8, 2018
Medical-Legal: When to Bill For Report Preparation
Medical-legal billing is a special kind of tricky. This unique subset of California workers’ comp has its own rules, its own fee schedule, and its own unique complicat...
May 4, 2018
Medical-Legal Fee Schedule: DWC Proposes New Amendments
The California Division of Workers’ Compensation (DWC) announced proposed amendments to the Medical-Legal Fee Schedule yesterday, May 3. The amendments would make sign...
Feb 2, 2018
2018 Workers’ Comp Reimbursement Cheat Sheet
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed.*Here it is: your complete, downloadable go-to resource for California worker...
Jan 24, 2018
Medical-Legal Cheat Sheet: Reimbursements
Update: for dates of service on or after April 1, 2021, refer to our 2021 Med-Legal Cheat Sheet for California workers’ comp.Billing for medical-legal services is one ...
Jan 3, 2018
Med-Legal Billing: How to Obtain Reimbursement for Diagnostic Tests
The conditions under which claims administrators must pay medical-legal doctors for diagnostic tests are specific and narrow. To ensure reimbursement, it’s important to know ...
Dec 8, 2017
Medical-Legal Billing Lacks Necessary Rules
When it comes to medical-legal billing, the workers’ comp field is missing something. For medical-legal bills, no rules govern the billing form used or the method used...
Oct 13, 2017
Are You Billing for Missed Work Comp Appointments?
You should be. A provider’s time may be their most valuable resource. The complexity of workers’ comp billing drains an absurd amount of that time, decreasing the retu...
Sep 22, 2017
Modifier 93 for Examinations Requiring Interpreter Services: A DaisyBill Guide
Interpreters play a crucial role in workers’ comp treatment. By negating language barriers, interpreters remove a massive source of friction from an already friction-burdened...
Mar 9, 2017
QME Report Filing Deadlines Under DWC Scrutiny
Per a recent report on the California Society of Industrial Medicine and Surgery (CSIMS) website, the Division of Workers’ Compensation (DWC) is taking new measures to enforc...
Feb 22, 2017
Claims Administrator Days to Payment for 2016 Med-Legal Bills
Last week on the blog, we published data on the top 20 California claims administrators who processed original electronic medical treatment bills on behalf of our clients in ...