Second Review
Feb 28, 2025
$18 Million Battle: How California’s Rigged Workers’ Comp System Cheats Providers
The 2024 data are in, and they paint a grim picture for every California provider treating injured workers. The numbers prove beyond a doubt that California’s workers’...
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Dec 10, 2024
Audit Complaint: Sedgwick - 5,415 Violations Reported
Once again, daisyBill has filed a formal Audit Complaint with the California Division of Workers’ Compensation (CA DWC) against Sedgwick Claims Management, Inc.The Thi...
Dec 4, 2024
Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA) of workers’ comp claims, has set a horrifying new standard for how claims administrators c...
Oct 9, 2024
Payers Deny 48% of CA Physician's Bills
Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...
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Aug 26, 2024
CA Interpreter Service DOUBLES Revenue With Second Review Appeals
For California workers’ comp providers, no billing strategy produces more revenue with less effort than consistently submitting Second Review appeals. This is especial...
Jun 14, 2024
Sedgwick: 17,225 Audit Complaints Sent to DWC
Sedgwick Claims Management, Inc. continues to defy California law and regulations for properly responding to Second Review appeals. And why wouldn’t they, without any consequ...
Jun 13, 2024
For CA Interpreters, Appeals Pay More Than Bills
California interpreters, pay close attention!A new interpreter service began using daisyBill in February. Since then, the service has collected more revenue from Secon...
Jun 12, 2024
Sedgwick (and the DWC) Ignore Providers' Appeals
Sedgwick is running roughshod over California providers, in violation of state workers’ comp law. By failing to take substantive action, the Division of Workers’ Compe...
Jun 11, 2024
Med-Legal Company Collects $1M From Appeals in 2023
How much money is your practice leaving on the table? daisyData show that in 2023, one California client collected over $1 million from submitting Second...
May 31, 2024
CA Appeals: Sutter Health Pays for Frankenreport
In our previous article, daisyNews detailed how Sutter Health authorized a California provider to create a strange combination of a Permanent and Stationary (P&S) report and ...
Mar 26, 2024
Second Review: CA Providers Recovered $21M in 2023
The 2023 data are in — California daisyBill providers collectively recovered over $21 million by submitting Second Review appeals to dispute incorrect reimbursement denials o...
Nov 30, 2023
Alert: Sedgwick's Phantom Payment Reductions
Recently, Sedgwick Claims Management Services reduced a daisyBill doctor’s payments to 25% below the amount allowed by the California Physician Fee Schedule. To justify the r...