Authorization 2018: New Billing and RFA Deadlines
Jan 12, 2018
The new “fast-track” automatic authorization process took effect on January 1, 2018. Under certain circumstances, some providers may provide “automatically” authorized treatm...
Authorization: 6 Qualifying Conditions for Fast-track Automatic Authorization
Jan 5, 2018
On January 1, 2018, the new “fast-track” automatic authorization takes effect. In certain cases, some providers will be able to provide treatment without first submitting a R...
2018 Authorization/Utilization Review: Major Changes Effective 1/1/2018
Dec 1, 2017
Senate Bill 1160 makes significant changes to the authorization and utilization review (UR) process starting in 2018. New “fast-track” UR takes effect on January 1. Fa...
5 Strategies to Prevent Denied Work Comp Bills
Nov 16, 2017
California does not make it easy for work comp providers to get paid. The time and effort necessary to obtain proper reimbursement is an unfortunate reality of a system weigh...
How It Works: Independent Medical Review (IMR)
Nov 10, 2017
When the claims administrator representing the insurance company, employer, or TPA denies a valid, compliant Request for Authorization (RFA), what’s a work comp provider to d...
FYI: Claims Admin Not Required to Use RFA Form
Nov 9, 2017
A provider’s office recently asked if claims administrators must sign and return the Division of Workers’ Compensation (DWC)’s official RFA form when approving the requested ...
Just in Time: RFA and Utilization Review Timeframe Requirements
Oct 12, 2017
In California, proper authorization is one of the most important factors for compliance in workers’ comp billing and payment. Legally, “authorization” is the insurer’s accept...
Billing Tip: Know Where to Send RFAs
Apr 4, 2017
The first thing we tell a provider when they ask for workers’ compensation billing tips? Always, always, always submit a Request for Authorization (RFA) for the recommended t...
Authorization and Declaration II: More on RFAs and Liens Under SB 1160
Dec 9, 2016
You already know Requests for Authorization (RFAs) as the single most effective tool for guaranteeing payment. Now RFAs play a vital role in lien declaration, as well....
Authorization and Declaration: RFAs and Liens Under SB 1160 (Part I)
Dec 6, 2016
It’s something like a motto around here: Billing success starts with authorization success. Submitting a Request for Authorization (RFA) is the best investment a provider can...
One Year Later, San Bernardino Victims Face Workers' Comp Struggle
Dec 2, 2016
A flurry of recent media attention brought light to the struggle for treatment endured by victims of last year’s San Bernardino terrorist attack.¹ On the first anniversary of...
Submit Me, Baby, One More Time: Second Review Payment Data
Nov 29, 2016
Have you heard? We’re coming up on a major milestone. In a matter of days, DaisyBill clients will reach $15,000,000 in additional revenue generated from Second Reviews (SBRs)...