Second Review

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...

Tristar Flouts Law - How Long Will IBR Take?

Tristar Risk Management seems extra comfortable ignoring payment laws and regulations, even by the woeful standards of California workers’ comp. As a result, daisyCollect has...

Tristar Ignores CA Second Review Law

We don’t need further evidence that California workers’ comp is corrupted beyond any reasonable person’s notions of fairness, justice, or equity — but here’s Tristar Risk Man...

SCIF Makes Mockery of IBR and the DWC

Yet again, we face another appalling round of "IBR Chicken,” the game in which a claims administrator refuses to shell out a dime to a California provider for services render...

CPT 99358 & 99359: How to Appeal Payment Denials

In workers’ comp billing, some procedure codes are trickier than others.Two of the best examples are CPT codes 99358 and 99359, used by providers to report prolonged n...

Providers Respond: How to Fix CA Workers' Comp

In advance of the public meeting recently held by the Division of Workers’ Compensation (DWC), daisyBill offered a few suggestions for improving California’s workers’ comp sy...