California
Payment Appeals
Laws, Regulations, And Rules
Blog Articles
Nov 4, 2019
Convoluted Coding: Applied Underwriters Tries to Shortchange Provider
For anyone concerned by the lack of providers willing to treat injured workers, the following dark tale perfectly illustrates the reason so many providers flee workers’ comp....
Mar 8, 2017
SCIF Denying Evaluation and Management Codes
State Compensation Insurance Fund (SCIF) recently unveiled a “new program” with regard to reimbursement for billed Evaluation and Management (E/M) Codes. Per a conversation w...
Mar 24, 2021
IBR Hall of Shame: Employers
Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...
Nov 18, 2019
Victory for Providers: Maximus Rules on CPT 99358
*Update: The 2021 OMFS updates drastically changed how E/M codes are billed. The article below only applies to DOS before March 1, 2021.*In the past, DaisyBill has rep...
Jun 15, 2023
DWC Repeatedly Violates CA IBR Law
California fails to maintain a workers’ comp environment that’s fair and navigable for providers (you know, the people who treat the injured workers). Prime example: the Divi...
Mar 31, 2022
Farmers Insurance: Winning "IBR Chicken”
California workers’ comp technically offers an appeals process for providers to dispute incorrect reimbursements. However, this appeals process actually encourages claims adm...
Webinars
Payment Appeals
Jun 06, 2017
2017 Lien Declaration Requirement (Updated)
We've updated our tremendously popular lien declaration webinar with new information from the DIR. Finally, some clarity on how to qualify and how to document eligibility.
Payment Appeals
Jun 23, 2021
Ask DaisyBill: CA Workers' Comp Q&A With Sarah Moray, Co-Founder
DaisyBill co-founder Sarah Moray tackles questions from California workers’ comp professionals! With questions about authorization, fee schedules, appeals, and more, this webinar is packed with vital information.
Payment Appeals
Jun 09, 2016
Second Review Strategy Kit, Part I
Want to improve your Second Review (SBR) results but don’t know how? Our experts share their extraordinary strategies, insider tips, and the sample language to get Second Reviews processed correctly.
Payment Appeals
Jul 28, 2016
Second Review Strategy Kit, Part II
Five specific strategies to dispute five of the most common reasons for denying workers' comp medical bills: