SCIF
CA SCIF Baits & Switches MD Out of Payment
Sep 7, 2022
CA SCIF Baits & Switches MD Out of Payment
Once again, California’s State Compensation Insurance Fund (SCIF) may profit by exploiting a flaw in California’s Independent Bill Review (IBR) system.SCIF initially d...
SCIF: Med-Legal IBR Chicken Champion
Jul 27, 2022
SCIF: Med-Legal IBR Chicken Champion
Welcome to another round of IBR Chicken, where California claims administrators (falsely) deny payment for the treatment of injured workers for implausible reasons — and keep...
SCIF Stiffs Doc by Paying AFTER Request for IBR
Jul 12, 2022
SCIF Stiffs Doc by Paying AFTER Request for IBR
In a classically underhanded move, California’s State Compensation Insurance Fund (SCIF) twice denied payment for the authorized treatment of an injured worker, but then sudd...
SCIF Blames Anthem for Late Payments
Jul 12, 2022
SCIF Blames Anthem for Late Payments
California’s State Compensation Insurance Fund (SCIF) consistently fails to timely pay doctors for the care of injured workers. Between January 1 and June 15 of 2022, SCIF ig...
Audit Complaints: 18,160 Filed for SCIF Non-Compliance
Jul 11, 2022
Audit Complaints: 18,160 Filed for SCIF Non-Compliance
Using data generated by over 48,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
CA DWC Rigs IBR and Helps SCIF
Feb 8, 2022
CA DWC Rigs IBR and Helps SCIF
A doctor treated a California injured worker. Subsequently, in an apparent attempt to avoid paying for the treatment, the State Compensation Insurance Fund deni...
IBR Chicken: SCIF Blinks Too Late
Jan 11, 2022
IBR Chicken: SCIF Blinks Too Late
You win some, you lose some. That’s the lesson the State Compensation Insurance Fund (SCIF) must take from the latest round of California workers’ comp claims administ...
SCIF Hacks IBR by Switching (Incorrect) Denial Reason
Sep 15, 2021
SCIF Hacks IBR by Switching (Incorrect) Denial Reason
There’s a serious inequity in the appeals process by which California workers’ comp providers can dispute incorrect reimbursement for authorized treatment. State Compensation...
CA DWC Lets SCIF Skirt IBR for Incorrect GPCI
Jun 28, 2021
CA DWC Lets SCIF Skirt IBR for Incorrect GPCI
In a baffling decision, the California Division of Workers’ Compensation (DWC) declared a straightforward billing dispute ineligible for Independent Bill Review (IBR) — despi...
Payola? SCIF / Blue Cross Anthem Coordinate Provider MPN Shakedown
Apr 26, 2021
Payola? SCIF / Blue Cross Anthem Coordinate Provider MPN Shakedown
State Compensation Insurance Fund (SCIF) and Anthem Blue Cross (Anthem) have hacked the Medical Provider Network (MPN) system to apparently shake down providers. A recent ema...
SCIF Tantrum Subverts the IBR Process
Nov 25, 2019
SCIF Tantrum Subverts the IBR Process
Few behaviors induce more cynicism than when claims administrators ask providers to withdraw requests for Independent Bill Review (IBR) in exchange for correct payment. Appar...
SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers
Aug 16, 2019
SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers
The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...