Second Review

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...

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...

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...

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...

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...

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...

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...

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 ...

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...

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...

daisyBill Account Analytics: Appeal Payments!

If no one tracks your workers’ comp bills, you’re probably missing critically important information about your practice’s revenue.The sad fact is that between i...

TRPN: How to Fight the Network's Discounts

We’ve warned providers about the disturbing practices of Three Rivers Provider Network (TRPN).* We’ve also written about how providers may be able to demand that TRPN termina...