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Blog: DaisyBill News

News, data, & insights about workers' comp billing

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Statistics Prove Second Review Appeals FAIL Providers

Mar 27, 2019

Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review a...

📬 Payer Responses: Guile, Waiting, and Crickets 🏏

Mar 1, 2019

Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpaymen...

Maximus Confirms Using Second Review Appeals to Correct Billing Errors

Feb 12, 2019

Correcting a coding error is as simple as submitting a Second Review appeal explaining the error. Last year, we discussed the convoluted process to correct billing err...

No Response to Second Review Request? A Lien Is the Only Option

Oct 11, 2018

A recent refusal by Travelers Insurance to respond to a provider’s second review appeal, and subsequent denial of the provider’s request for Independent Bill Review (IBR), pe...

CA Providers: Do Not Alter Bill When Submitting Second Review Appeal

Sep 14, 2018

To appeal incorrect reimbursements or bill denials, California providers must submit timely and compliant requests for second review. To date, DaisyBill clients have recovere...

CA Providers: Appeal Denials for Treatment Preceding Liability Decision

Jun 27, 2018

Recently, we pointed out that California employers are liable for treatment that precedes the claims administrator’s decision to accept or deny a workers’ comp claim. Before ...

Workers’ Comp Billing Error: Resubmit or Request Second Review Appeal?

Jun 7, 2018

Mistakes happen. When a provider accidentally submits an original bill that contains an error, taking the appropriate action is key to avoiding further delay in reimbu...

Data Reveals Importance of Second Review Appeal for Providers

May 25, 2018

The claims administrator’s Bill Review does not always recommend the correct reimbursement on the first try. Our second review appeal data reveals a staggering amount of reve...

VPay Error Impacts Thousands of Sedgwick EORs

Feb 23, 2018

VPay, a payment processing company which issues explanation of reviews (EORs) and virtual credit card payments from claims administrators to providers, suffered a technical g...

How to Bill for Physician-Dispensed Pharmaceuticals

Feb 15, 2018

Payments for physician-dispensed drugs are some of the most misunderstood — and incorrectly denied — in workers’ compensation billing. Too often, the employer or insurer’s cl...

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

Feb 13, 2018

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

Feb 7, 2018

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, ...

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