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Change Cyberattack: The Dangers of Using A Single daisyBill

WebChange Healthcare, perhaps the largest electronic billing clearinghouse for private insurers in the nation, is reeling from the historic cyberattack that has crippled …

Actived: 4 days ago

URL: https://blog.daisybill.com/dangers-of-using-single-clearinghouse

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 …

Category:  Health Go Health

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 …

Category:  Health Go Health

Prime Health PPO: 2024 Medicare Cuts May Decrease Workers'

WebThe Centers for Medicare and Medicaid Services (CMS) announced it will cut reimbursement rates for physician services in 2024 by 3.4%.. This Medicare …

Category:  Health Go Health

Hospital Outpatient: J1 Status Indicator Explained daisyBill

WebStatus Indicator T means that the HCPCS is reimbursable. When multiple codes are assigned Status Indicator T and appear on a single bill which, the …

Category:  Health Go Health

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 …

Category:  Health Go Health

How to Identify PPO Reductions (Part I) daisyBill

WebThe EOR below from SCIF demonstrates how SCIF made a mockery of the state fee schedule via PPO Savings that took $78.96 from the provider. This PPO …

Category:  Health Go Health

CA Work Comp Telehealth Requirements Thru 4/14/2020 daisyBill

WebOn April 13, 2020, the California Division of Workers’ Compensation (DWC) issued a Newsline adopting changes to telehealth regulations effective for all telehealth dates of …

Category:  Health Go Health

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 408-912 …

Category:  Medical Go Health

SCIF, EK Health Use "ODG" Guidelines to Deny Care daisyBill

WebSCIF and EK Health repeatedly cite ODG guidelines in UR decisions sent to physicians. Worse, these entities have used the ODG to deny surgery recommended by …

Category:  Health Go Health

SCIF Inept UR #6: Non-MTUS Guidelines Strike Again daisyBill

WebOnce again, State Compensation Insurance Fund (SCIF) and EK Health denied surgery for an injured worker by citing unadopted, alternative treatment guidelines …

Category:  Health Go Health

CorVel Disguises PPO Discounts daisyBill

WebUsing DaisyBill, the provider knows that CorVel/MultiPlan reimbursed the services only 75% of the amount allowed by the OMFS for two of the codes. Whereas for …

Category:  Health Go Health

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. …

Category:  Medical Go Health

Provider Warning: Prime Health Services (Part I) daisyBill

WebProvider Warning: Prime Health Services (Part I) April 19, 2021 9 min read. By: Catherine Montgomery. Recently, a provider made the unfortunate mistake of signing …

Category:  Health Go Health

E/M Data: CPT 99214 Reimbursement 2022 daisyBill

WebCPT 99214: 2022 Data Summary. Below is a summary of the data collected from the 239 claims administrators to which daisyBill doctors submitted bills with E/M code CPT …

Category:  Health Go Health

Timely Billing Coming to California daisyBill

WebEffective January 1, 2017. Like other bills, medical-legal evaluation and service bills must be submitted within 12 months from the date of service. The Labor …

Category:  Medical Go Health

Provider Alert: Broadspire Contorts Work First Casualty

Web2351 Sunset Blvd, Suite 170-893. Rocklin, CA 95765. If a provider fails to adhere to the Broadspire convoluted and contorted billing instructions, then the …

Category:  Health Go Health

“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) § …

Category:  Health Go Health

SCIF Inept UR #5: EK Health Ignores MTUS, Denies Surgery

WebUtilization Review Standards: SCIF must respond with a Utilization Review (UR) decision within five (5) business days of receipt of the completed RFA – on or …

Category:  Health Go Health

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