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Blog: DaisyNews

Workers' Comp News, Data, and Insights

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AIG: Improper (but Logical) Med-Legal Underpayment

Aug 25, 2021

AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who ...

Med-Legal Diagnostic Testing Is Reimbursable

Aug 19, 2021

FAQ: Is diagnostic testing, as part of a Medical-Legal evaluation, separately reimbursable?A: Yes, as long as the testing is necessary to complete the evaluation.

How to Win Med-Legal Payment Disputes

May 17, 2021

In light of the all-new Medical-Legal Fee Schedule (MLFS) for California workers’ comp, we debuted a new tool to help providers. Our MLFS “Report Cards” analyze...

CNA Repeatedly Ignores California Law

May 12, 2021

By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...

2021 CA Med-Legal Billing Codes Pocket Guide

Apr 8, 2021

California has a new Medical-Legal Fee Schedule (MLFS), effective April 1. To help medical-legal evaluators and their staff navigate these (drastic) changes, we created a dow...

2021 Medical-Legal Cheat Sheet for CA Workers' Comp

Apr 1, 2021

It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). Substantially different from its predecessor, the updated MLFS is effectiv...

New CA Med-Legal Fee Schedule Effective April 1

Mar 31, 2021

California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...

CA: New Med-Legal Fee Schedule Pending

Mar 30, 2021

A reimagined Medical-Legal Fee Schedule is on the way.Following the required public hearing and comment period, California’s Division of Workers’ Compensation (DWC) fi...

IBR Hall of Shame: Employers

Mar 24, 2021

Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...

CA DWC: 2021 Fee Schedule Updates as of 1/5/2021

Jan 5, 2021

California workers’ comp fee schedules change on a regular basis, though not always on a precise schedule. This article sums up the late 2020 and early 2021 updates thus far ...

DWC Will Hold Meeting on Controversial Medical-Legal Rule Proposals

Sep 26, 2018

In May of this year, California’s Division of Workers’ Compensation (DWC) announced proposed changes to the state Medical-Legal Fee Schedule (MLFS), and welcomed public comme...

Med-Legal Misconceptions: 4 Ways NOT to Use Billing Code ML106

Sep 21, 2018

In California, physicians use code ML106 to bill for supplemental medical-legal examinations. However, what constitutes a supplemental medical-legal exam for billing purposes...

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