California
Payment
Laws, Regulations, And Rules
Blog Articles
Aug 9, 2017
Reminder: Secondary Treating Physician Reports Not Payable
Last month in this space, we covered reimbursement for the DWC Form PR-2, or the primary treating physician’s progress report. Since that time, we’ve received a number of que...
Feb 17, 2017
2016 Claims Administrator Days to Payment: Liberty Mutual to AmTrust
If you’re a regular visitor to our blog, you’ll recognize a common refrain: Electronic billing is fast, efficient, and easy. How fast, exactly? California Labor Code § 4603.4...
Mar 2, 2021
ESIS + Conduent + StrataCare = Provider Torment
Preferred Provider Organizations (PPOs) profit from reducing the reimbursements providers receive for treating injured workers. Yet, we would argue that providers (and injure...
Jan 24, 2017
Confusion and Running in Circles: AIG / MedRisk Incorrect Denials
Recently DaisyBIll providers reported receiving incorrect and very confusing denials from MedRisk, a managed care provider network, for bills that were actually submitted dir...
Apr 7, 2017
Procedure Code 0232T and Independent Bill Review
Late last month, we examined a particularly intriguing CPT Code – 0232T – as part of our ongoing investigation into when reimbursements are established “By Report.” For certa...
Feb 14, 2017
Late Bill Payment? Collect Penalty and Interest.
The passage of Senate Bill 1175 last autumn placed a lot of emphasis on the timely filing of California workers’ comp bills. But what about timely payment? Claims administrat...
Payment