RFA

SCIF Inept UR #4: IMR Rules Favor Insurers

In recent articles, we’ve shared the details of State Compensation Insurance Fund (SCIF)’s denial of continued care for an injured worker on false grounds, and ...

SCIF Inept UR #2: Bungled Medical Records Strikes Again

Once again, the consequences of inept Utilization Review (UR) fall on an injured worker.EK Health, conducting UR on behalf of State Compensation I...

UR: An Open Letter to CA Residents

Dear California Readers,One of your neighbors experienced a significant head injury while repairing California highways. This individual has diminished cognitive abili...

SCIF: Inept Utilization Review Delays Care for Injured Worker

We write often about the systemic issues surrounding Utilization Review (UR) in California and the constant struggle of providers to obtain authorization to tre...

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...

5 Ways the RFA System Burdens Providers

In California, injured workers’ access to care depends directly on how physicians manage the state’s onerous authorization and Utilization Review (UR) requirements.

Missing UR Decisions (and Other RFA Problems) Solved

If your practice treats injured workers, you can’t get reimbursed without proof of authorization. Fortunately, California makes submitting Requests for Authorization (...

RFA: The Easy Way to Manage UR Decisions

So many injuries. So many Requests for Authorization (RFAs). So many Utilization Review (UR) decisions to keep track of — and only so much time in a day.Rest easy, pro...

RFA: How Technology Can Document UR Decisions

For providers, workers’ comp’s biggest challenges are obtaining authorization for treatment, and getting paid for providing the authorized treatment. Both chall...

RFA: What's the Fax Number? daisyAuth Knows

They don’t make it easy to treat injured workers in California.To receive payment, a provider must obtain permission from the employer or insurer for all treatment ren...

Video: 30-Second RFAs for CA Workers' Comp

Let’s face facts: treating injured workers is a massive administrative pain for California providers and their staff. And that pain starts with the mandated employer authoriz...

Sedgwick Authorization Sewer - Why CA Needs UR Reform

An injury occurs at work. The injured worker sees a doctor. The doctor concludes that the worker needs a consultation from a specialist. Per California law, the treating doct...