Q. Why did DaisyBill partner with One Call?
In late 2019, One Call approached DaisyBill to form a partnership with the goal of easing the burden that California’s mandated Requests for Authorizations (RFAs) place on providers. The vision was to leverage One Call’s robust scheduling power to help DaisyBill clients manage scheduling injured workers for certain ancillary and diagnostic services.
Q. What is DaisyAuth?
DaisyAuth is the RFA functionality built by DaisyBill. DaisyAuth allows providers to easily create, submit, manage, and track complete and compliant RFAs. Access to DaisyAuth is automatically included for all DaisyBill billing subscribers.
Q. What are the RFA problems that One Call solves for DaisyAuth clients?
For all treatment and services required to heal the injured worker, California law requires requesting providers and Primary Treating Physicians (PTPs) to submit RFAs to the employer’s utilization review organization (URO) to receive approval for the requested treatment or services.
Many diagnostic and ancillary services that an injured may need are not furnished by the requesting provider or the PTP, yet these providers must shoulder the economic burden of both obtaining approval and scheduling these services:
- RFAs require the requesting provider to devote staff time to manage the RFAs and scheduling the injured worker for the requested services, and
- California does not reimburse requesting providers for the time spent by this specialized staff to manage the RFAs.
Enter One Call.
One Call can directly accept the RFAs from the requesting provider or the PTP, and One Call will schedule the injured worker for the requested diagnostic or ancillary services within the One Call network of providers.
Q. How does it work?
When a provider uses DaisyAuth to submit RFAs, DaisyAuth automatically alerts the user if an RFA is eligible for One Call to schedule the ancillary and/or diagnostic services.
If One Call is selected as the RFA recipient, DaisyAuth sends the RFA submission to One Call where a specialized One Call team manages the time-consuming process of making contact with the patient, scheduling the appointment, rescheduling the appointment (if necessary), and following up for the treatment report (if provided).
One Call has a dedicated team to manage RFAs sent by DaisyAuth clients.
Q. Is there a DaisyAuth charge to send RFAs to One Call?
No! DaisyAuth does not charge an RFA submission fee when an eligible RFA is sent to One Call. Pricing for forwarding the RFA still applies when applicable.
Q. Does my practice need to use DaisyBill to submit DaisyAuth RFAs to One Call?
Nope. DaisyAuth is available to all California providers as a stand-alone subscription.
Q. Which RFA services are eligible to send to One Call for their scheduling services?
One Call contracts with claims administrators to schedule diagnostic and ancillary services within the One Call network of providers. DaisyAuth has a list of these claims administrators and the services for which One Call is allowed to schedule. When a provider creates an RFA for ancillary services for a One Call claims administrator, DaisyAuth alerts the user that the RFA is eligible for One Call scheduling.
In the initial phase of this functionality, only RFAs with one Requested Treatment on them are eligible for One Call to schedule the requested diagnostic or ancillary service.
Q. What if I do not want to send the RFA to One Call?
The choice is yours. Even if an RFA is eligible for submission to One Call, you always have the option at the time of submission to send the RFA directly to the claims administrator, rather than One Call.
Q. How do I increase the number of RFAs that qualify for One Call to schedule?
In the initial phase of this functionality only RFAs with a single Requested Treatment are eligible for One Call to schedule the diagnostic or ancillary services.
Q. Can One Call schedule services if my practice is contracted with One Call?
Absolutely. If your practice is contracted with One Call, and provides the services requested on the RFA, One Call will prioritize scheduling services with your practice.