Second Review

Providers: Don't Accept 2017 OMFS Rates for 2018 Dates of Service

Lately, we’ve noticed a problem. Some claims administrators are reimbursing providers incorrectly. Instead of paying the higher 2018 Official Medical Fee Schedule (OMFS), cla...

“Automatic” Authorization, but Denied Bill? How to Appeal the Denial

The new “automatic” authorization process for workers’ comp is in effect, as of January 1. We’ve discussed this new system extensively on our blog and in our recent webinar, ...

How It Works: Independent Bill Review (IBR)

Think about what workers' comp providers go through to obtain correct payment for treating injured workers. Compliant authorization and billing are taxing enough. Appealing i...

The Parity Problem: How Work Comp Favors Insurers Over Providers

In disputes over payment in the California workers’ compensation system, insurers have an unfair advantage over providers. At every stage of the billing process, the b...

The Provider’s Burden: Appealing Improper Reimbursements

Workers’ comp billing is hard enough. Four years ago, California passed strict requirements that providers must follow to appeal incorrect reimbursements from insurers...

Claims Administrator Rectifies SBR Error

Pacific Claims Management responded to our August blog regarding misinformation about requests for Second Bill Review. daisyBill spoke with a Pacific representative, with who...

Billers Beware! Submit Second Reviews to Appeal Incorrect Payments

Recently a claims administrator gave a daisyBill client some horrible advice about appealing an incorrect payment. A representative at Pacific Claims Management, a thi...

DaisyBill Clients Approach $20 Million in Second Review Revenue

We have some exciting news to share from the world of California workers’ comp billing. Work comp professionals using DaisyBill software are fast approaching a major Second R...

Sedgwick Miskeying Some Workers’ Comp Bills

It’s not often that our support team fields a question that we haven’t already seen in some way, shape, or form. Over the years, we’ve built up a rock-solid understanding of ...

Numbers Don't Lie: Second Reviews Work

Still not convinced that Second Reviews work? We’ll let the numbers speak for themselves:

Workflow for Second Bill Reviews for Work Comp

Last week we gave a webinar on Second Bill Reviews (SBRs) for workers’ comp. We covered both the correct way to submit SBRs (for providers) and the compliant way to process S...

More on Reduced Filing Fees for Workers' Comp IBR and IMR

Yesterday I posted about recent Independent Medical Review (IMR) and Independent Bill Review (IBR) fee reductions, effective January 1, 2015. I’m following up o...