Workers’ Comp Medical Billing FAQ

Workers’ Comp Medical Billing FAQ

Workers’ comp billing is complex, state-specific, and full of pitfalls for providers.

The best way to stay compliant and get quickly, accurately reimbursed is purpose-built workers’ comp billing software.

Below are the most common questions—and the clearest answers—about how software levels the playing field.

Q: Can workers’ comp billing software manage denials, underpayments, and appeals?

Yes. Good workers’ comp billing software automatically identifies underpayments and triggers an appeal workflow.

How it works in daisyBill:

  • The system reads the EOR/EOB and detects payment below the fee schedule.
  • The system next creates a Bill Task prompting staff to dispute the underpayment.
  • Staff generate and submit a compliant appeal in a few clicks.
  • The software tracks the appeal and subsequent payer responses until resolution.

Any workers’ comp billing platform worth using should make appeals as simple as submitting the original bill.

Q: Can software handle workers’ comp attachments (PR-2, progress reports, auth documents)?

Yes. Workers’ comp e-billing software should send all required medical documents electronically, not by fax.

How daisyBill sends attachments:

  • Staff upload PDFs of the required documents.
  • The software converts PDFs into ‘275’ attachment files.
  • The bill and attachments receive a unique attachment control number to ensure matching.
  • The clearinghouse and payer receive both files together, preventing “lost” documentation.

Missing attachments are one of the top causes of denials. Software should eliminate that risk.

Q: Does workers’ comp billing software include reporting and analytics?

It should. Providers need real-time visibility into reimbursement revenue, compliance gaps, and payer behavior.

daisyBill’s Payment Analytics monitors:

  • Payment speed
  • Payer compliance rates
  • Revenue from appeals
  • The impact of PPO and other reimbursement discount agreements

Workers’ comp billing is too financially volatile to manage without data.

More FAQs Coming Soon

We’ll continue sharing how technology (specifically, ours) removes friction from workers’ comp billing and makes treating injured workers financially sustainable.


daisyBill makes workers’ comp billing easier, faster, and better for revenue. Click below to learn more:

BILL BETTER: DAISYBILL

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DaisyBill provides content as an insightful service to its readers and clients. It does not offer legal advice and cannot guarantee the accuracy or suitability of its content for a particular purpose.