PPO

ProPublica/NPR: Fees & Discounts Gutting Provider Revenue
Sep 26, 2023
ProPublica/NPR: Fees & Discounts Gutting Provider Revenue
ProPublica and NPR recently published an exposé on entities that impose fees on doctors who accept electronic funds transfer (EFT) payments. These fees c...
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Jun 20, 2023
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Recently, the Medical Director of a large medical group sent an email to daisyBill, explaining their decision to "opt out" of treating injured workers in California. T...
Coventry: Fine Print Reveals MPN Mirage
Apr 17, 2023
Coventry: Fine Print Reveals MPN Mirage
Last week, we exposed the empty promise of Medical Provider Networks (MPNs), as evidenced by damning emails between a California doctor and Coventry. In one of its emails, Co...
Coventry Emails Expose PPO/MPN Mirage
Apr 14, 2023
Coventry Emails Expose PPO/MPN Mirage
A series of emails between a California doctor and Coventry expose the unvarnished truth about Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs). <...
Marriott - Networks Pocket Doctors' Pay
Apr 12, 2023
Marriott - Networks Pocket Doctors' Pay
Does the Marriott hotel chain know where the money really goes when it pays for its employees’ medical treatment?Self-insured and with its own in-house claims administ...
Defense Attorney: "MPNs Benefit No One"
Apr 5, 2023
Defense Attorney: "MPNs Benefit No One"
An attorney who represents workers’ comp payers felt compelled to share his viewpoint on Medical Provider Networks (MPNs) with daisyBill. His take: MPNs are useless to employ...
What CA Doctors Must Know Before Signing a PPO Contract
Apr 4, 2023
What CA Doctors Must Know Before Signing a PPO Contract
Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs) are causing chaos for California employers, injured workers, and healthcare providers. Tha...
MPNs: Why MDs Won't Treat Injured Workers
Mar 29, 2023
MPNs: Why MDs Won't Treat Injured Workers
The video replay of our free webinar on Preferred Provider Organization (PPO) discounts is now available to stream! The webinar slide deck is also available to download.<...
ACE / Sedgwick Low Payments Reveal PPO Problem
Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering.  Three separate bills from the same provider to the same insurer...
Mirage Provider Networks: Sedgwick Can't Identify MPN
Mar 20, 2023
Mirage Provider Networks: Sedgwick Can't Identify MPN
At this point, Medical Provider Networks (MPNs) can feel like little more than a cruel joke, offering seemingly ephemeral benefits to providers while exacting a heavy toll in...
Your PPO Questions (So Far)
Mar 14, 2023
Your PPO Questions (So Far)
It’s almost time — we’re gearing up for our free live webinar on the financial danger Preferred Provider Organizations (PPOs) pose for practices that treat inju...
Data: SCIF Pays Medicare Rates for E/M Services
Feb 8, 2023
Data: SCIF Pays Medicare Rates for E/M Services
Like The Zenith, California’s State Compensation Insurance Fund (SCIF) consistently pays Medicare rates to doctors for treating injured workers.According to data from ...