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CA Telehealth Cheat Sheet: A Provider's Guide daisyBill

WEBTo help, we’ve created a simple “cheat sheet” for California providers, featuring the most important regulatory must-knows for workers’ compensation, …

Actived: 1 days ago

URL: https://blog.daisybill.com/ca-telehealth-cheat-sheet-a-provider-s-guide

How It Works: Independent Medical Review (IMR) daisyBill

WEBDaisyBill’s Billing Software. Our software allows providers to generate compliant RFA’s quickly, and tracks the response times, alerting providers when a …

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Provider Warning: Prime Health Services MPN/PPO daisyBill

WEBBy: Catherine Montgomery. Prime Health Services (PHS) provided an unbelievable example of just how far PHS will go to secure unearned PPO discounts for …

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Discount Dangers, Part I: The Silent PPO daisyBill

WEBDiscount Dangers is a DaisyBill series on the various ways discount contracts cheat workers’ comp providers out of reimbursement. With this series, we …

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“By Report” Billing Codes: Best Practices for Proper daisyBill

WEBThe OMFS designates the reimbursement amount for a procedure code as “BR” in the following situations: Is not subject to California Code of Regulations (CCR) § …

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CA Employees: ASAP, Predesignate Your MD daisyBill

WEBCalifornia Code of Regulations Section 9780.1 makes it clear that a predesignated personal physician may treat an injured worker regardless of MPN …

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Change Cyberattack: Availity to Return Providers' Bills

WEBThe Change cyberattack is a wake-up call for billing vendors to establish the most direct, efficient electronic pathways for sending bills from the provider to the payer …

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San Francisco MTA Switches Bill Review daisyBill

WEBAttn: Medical Bill Processing - SFMTA. 2351 Sunset Blvd. Ste 170-893. Rocklin, CA 95765. Providers should submit RFAs to EK Health at: Fax number 408 …

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Institutional Billing: How to Find Your Conversion Factor

WEBASC Conversion Factors. County-specific conversion factors are located in Table A of CCR § 9789.34. The table is downloadable as a PDF or CSV file from the …

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Just In Time: Your Guide to the SB 1175 Billing Deadline

WEBSB 1175 Section 1. Labor Code §4603. Submit bills for medical services within 12 months of the date of service (DOS), for all DOS on or after January 1, 2017. …

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2021 Telehealth Billing Guide for CA Workers' Comp daisyBill

WEBAugust 9, 2021 17 min read. By: Catherine Montgomery. With COVID-19 hardly in the rearview mirror just yet, California workers’ comp providers can still utilize telehealth as …

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SCIF Inept UR #7: Truly Unbelievable Incompetence daisyBill

WEBEmployees, taxpayers, and moral human beings should be outraged by Utilization Review (UR) abuse inflicted on a state employee by the State Compensation …

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SCIF Inept UR #4: IMR Rules Favor Insurers daisyBill

WEBIn recent articles, we’ve shared the details of State Compensation Insurance Fund (SCIF)’s denial of continued care for an injured worker on false grounds, and how …

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Telehealth: Video vs Audio Explained for California daisyBill

WEBIn our most recent webinar, California Workers’ Comp Telehealth Made Easy, we reviewed the Medicare and California Division of Workers’ Compensation (DWC) …

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Middleperson Companies Killing Provider Revenue daisyBill

WEBProPublica and NPR recently published an exposé on entities that impose fees on doctors who accept electronic funds transfer (EFT) payments. These fees cost …

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SCIF Inept UR #3: IMR Offers No Hope for Injured Worker

WEBIn California workers’ comp, the insurer has the final say over an injured worker's medical care. So what if the insurer gets it wrong? What if the insurer denies …

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Obituary: Palomar Urgent Care (for Injured Workers) daisyBill

WEBPalomar Health Medical Group’s Urgent Care location announced its departure from workers’ comp this month, joining the increasingly crowded graveyard of …

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Work Comp Confusion: Interpreting 5307.11 Contracts daisyBill

WEBWe get a lot of questions about 5307.11 contracts for workers’ compensation. In a nutshell, 5307.11 contracts allow providers and claims administrators to contract for …

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