RFA
Jan 5, 2018
Authorization: 6 Qualifying Conditions for Fast-track Automatic Authorization
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...
Dec 1, 2017
2018 Authorization/Utilization Review: Major Changes Effective 1/1/2018
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...
Nov 16, 2017
5 Strategies to Prevent Denied Work Comp Bills
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...
Nov 10, 2017
How It Works: Independent Medical Review (IMR)
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...
Nov 9, 2017
FYI: Claims Admin Not Required to Use RFA Form
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 ...
Oct 12, 2017
Just in Time: RFA and Utilization Review Timeframe Requirements
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...
Apr 4, 2017
Billing Tip: Know Where to Send RFAs
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...
Dec 9, 2016
Authorization and Declaration II: More on RFAs and Liens Under SB 1160
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....
Dec 6, 2016
Authorization and Declaration: RFAs and Liens Under SB 1160 (Part I)
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...
Dec 2, 2016
A Year Later, San Bernardino Victims Face Work Comp Struggle
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...
Nov 29, 2016
Submit Me Baby One More Time: Second Review Payment Data
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)...
Mar 25, 2016
More Questions Answered for Request for Authorization (RFA)
I recently posted answers to questions from DaisyBill’s Request for Authorization (RFA) webinar. Many people found those answers helpful, so I’m answering even more questions...