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Success Academy
daisyBill - Ambulatory Surgical Center (UB-04)
UB-04 Success Training #3: Bill Submission Topics
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Some Chubb Bills Moved to Gallagher Bassett
OWCP Provider Registration Required - EDI Submission Details
California In-Home Supportive Services claims now administered by Intercare
New York State: XML Submission Approval for WCB
List of Bills Page Explained
Bills Tab
Download Bills Ledger
Procedure Codes Tab
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daisyBill Researching
Lien
Independent Bill Review
Bill Page Explained
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Add Referring or Ordering Provider
Apply Box 19 Reasons
Apply Billing Template
Multiple Modifiers for a Procedure Code
Invalid or Expired Procedure Codes
NCCI Edits
'By Report' (BR) Procedure Codes
Adding NDC Number for J-Codes
Pharmaceutical Billing: Invalid NDC Number
Pharmaceutical Billing: Valid NDC Number
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Add Injury Documents to Bill
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Choose Bill Submission Method
daisyBill Mail Submissions
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Forward Bill Submission
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Bill Submissions Explained
Submission Cover Sheet
Task Action Bar Explained
Task: Patient Failed Review
Task: Injury Failed Review
Task: Bill Failed Review
Task: Document Required
Task: Document Failed Review
Task: Send Bill
Task: No Response
Task: EOR Missing
Task: Payment EOR Posted
Task: Payment Deposit Date Missing
Task: Denial EOR Posted
Task: Send Second Review / Appeal
Task: No Response - Second Review
Task: No Response - Appeal
Task: Payment EOR Posted - Second Review
Task: Denial EOR Posted - Second Review
Task: Lien Required
Task: Rejected Bill
Seven Reasons for Rejected e-Bills
Task: No Response - IBR
Task: Send IBR
Task: Payment EOR Posted - IBR
Task: Denial EOR Posted - IBR
Common Department of Labor Rejections
Bill History Explained
Add Note
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Forward Bill Submission
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Penalty and Interest
Claims Administrator EDI Error
Bill Submission Tabs Explained
Explanations of Review Posted Explained
835 Electronic EOR
Unmatched Posted Payments
Payer Claim Control Number
Post: Paper EOR
Post: Multiple Bill Payment
Upload / View / Delete Paper EOR
Post: $0 Reimbursement or Denial
Report / Edit / Delete Discount Contract
Edit Posted Payment
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Apply Write Off Reasons
Mark Bill as Lien - Lien Filed
Open
Service Line Item Posting v. Bill Posting
Repost Voided Payment to Bill Submission
Identifying PPO and Discount Contracts on EORs
Request for Second Review / Appeal: Denied Bill
Request for Second Review / Appeal: Add or Change Units/Modifiers
Request for Second Review / Appeal: Partial Payment
Second Review: Denied as Duplicate
Second Review Denial: Missing Documentation
Billing and Payment Rules
Request for Second Review: Add New Supporting Documents
Request for Second Review Compliance
EORs NOT Required for SBR
Apply Second Review / Appeal Reasons
Denial Incorrect: CPT Codes 99441 - 99443 "Not Payable"
Denial Incorrect: CPT Codes 98966 - 98968 "Not Payable"
Denial Incorrect: No Authorization
Incorrect Reimbursement: Misapplication of MPPR Billing Ground Rules
Denial Incorrect: Missing Documentation
Incorrect Reimbursement: PPO / Network Reduction Incorrectly Applied
Incorrect Reimbursement: E/M Downcoding DOS Prior to 3/1/21
Denial Incorrect: 99070 Denied for Dispensed Pharmaceuticals
Denial Incorrect: PR-2 (WC002)
Denial Incorrect: Medical-Legal Reports and Expenses
Second Review / Appeal Example Language
Denial Incorrect: 99358 / 99359
Denial Incorrect: Services Rendered Before Liability Decision
Late Bill Submission for Automatic Authorization
Create IBR Submission
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Bulk Send - Add on Feature
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Reporting Page Explained
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Bill Status Dashboard
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Bill Payment
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Service Line Item Payment
Patient
Injury
Request for Authorization
Bill - No Response Task Export
RFA Treatments Export
Best Practice Reports
Best Practice Reports Explained
RFA Status Dashboard
RFA Status Dashboard
Account Analytics
Account Analytics Explained
Billing Settings - Required
Manage Billing Providers Explained - Billing Settings - Required
Add Billing Provider
Billing Provider Information
Rendering Providers
Places of Service
Add Rendering Provider Signature
CMS 1500 Forms
Charges
DOL Provider Number
Billing Settings - Custom
Manage Billing Provider Explained - Custom Settings
Bill Task Preferences
Documents
Bill Write Off Reasons
Second Review / Appeal Reasons
Box 19 Reasons
Billing Templates
Referring And Ordering Providers
Expected Reimbursements
Bill Close: Automatic
RFA Settings
Manage Billing Provider Explained - RFA Settings
RFA Billing Provider Information
UR Decision Fax Preferences
Requesting Physicians
Add Requesting Physician Signature
Practice Locations
Practice Contacts
RFA Task Preferences
RFA Templates
daisyBill - Professional (CMS1500)
Success Training #1: Organization Administrator Topics
Success Training #2: Essential Basics Topics
Success Training #3: Bill Submission Topics
Success Training #4: Bill Payment and Review Topics
Success Training #5: Reporting and Beyond Topics
daisyBill - Pharmacy (NCPDP)
NCPDP Success Training #1 Organization Admin
NCPDP Success Training #2 Essential Basics
NCPDP Success Training #3 Bill Entry
NCPDP Success Training #4 Bill Payments & Second Review
NCPDP Success Training #5 Reporting and Beyond
daisyBill - Ambulatory Surgical Center (UB-04)
UB-04 Success Training #1: Organization Administrator Topics
UB-04 Success Training #2: Essential Basics Topics
UB-04 Success Training #3: Bill Submission Topics
UB-04 Success Training #4: Bill Payment & Review Topics
UB-04 Success Training #5: Reporting and Beyond Topics
daisyAuth
RFA Success Training
daisyCollect
Add / Send RFA
RFA Templates: Add / Edit / Delete
Failed RFA Submissions
RFA Page Explained
Forward RFA
Add UR Decision
RFA Status Explained
RFA History Explained
RFAs and Requested Treatments Explained
FAQ for RFA Submissions to One Call
Add Appointment Details
Schedule with One Call
RFA Fax Numbers
RFA Task: RFA Failed Review
RFA Task: Document Required
RFA Task: Send RFA
RFA Task: Fax Failed
RFA Task: Post UR Decision
RFA Task: No Response
RFA Task: Scheduling Information Received
RFA Task: Treatment Report Received
RFA Task: Match UR Decision
RFA Task: Schedule Approved Treatment
Manage Billing Providers
NCPDP Required Billing Information - Explained
NCPDP Custom Settings - Explained
NCPDP Billing Provider Info
NCPDP Add Billing Provider Signature
NCPDP Prescribing Provider
NCPDP Places of Service
NCPDP Charges
NCPDP Forms
NCPDP Task Preferences
NCPDP Documents
NCPDP Bill Write off Reasons
NCPDP Second Review Reasons
NCPDP Billing Templates
NCPDP Expected Reimbursements
NCPDP RFA Templates
Injury
NCPDP Injury Page Explained
NCPDP Add Injury
Bill Entry
NCPDP Bill Page Explained
NCPDP Add Bill Dispensed Product
NCPDP Add Bill Compound Product
NCPDP Edit Bill
NCPDP Copy Bill
NCPDP Apply Billing Template
Bill Submission
NCPDP Choose Bill Submission Method
View NCPDP
Manage Billing Providers
UB-04 Settings Required Billing Information - Explained
UB-04 Billing Provider Info
UB-04 Add Billing Provider Signature
UB-04 Providers
UB-04 Charges
UB-04 Forms
UB-04 Custom Settings - Explained
UB-04 Task Preferences
UB-04 Documents
UB-04 Bill Write Off Reasons
UB-04 Second Review Reasons
UB-04 Billing Templates
UB-04 Referring Providers
UB-04 Expected Reimbursements
Bill Entry
UB-04 Bill Page Explained
UB-04 Add Bill
Bill Submission
View UB04
Calculator
How Do I Choose the Correct Fee Schedule?
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DMEPOS Calculator
Copy Service Calculator
Physician Services - Dispensed Drugs
California Calculator Results Explained
Physicians Services OMFS Calculations Explained
Physicians Services Detailed Explanation Explained
Physician Services NCCI Edits
BR - Reimbursement for ‘By Report' Procedure Codes
California Explanation of Fee Schedule (EOFS)
Multiple Calculations
Outpatient ASC Calculator
Outpatient ASC Detailed Explanation Explained
IBR Decision Search
IBR Decisions Page Explained
MPN List
MPN List
Physician Fee Schedule Alerts
Physician Fee Schedule Alert Explained
Add Physician Fee Schedule Alert
View / Edit / Delete Physician Fee Schedule Alerts
Claims Administrator Directory
Claims Administrator Directory Explained
Drug Formulary
Drug Formulary Explained
Wizard Subscription Manage Users Explained
Wizard Subscription Manage Users Explained
Wizard Subscription Billing and Invoices Explained
Invoices Explained
Calculator
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Psychology Calculator
Podiatry Calculator
Chiropractic Calculator
New York Calculator Results Explained
Multiple Calculations
Claims Administrator Directory
Claims Administrator Directory Explained
OWCP Calculator
Document Upload
837 Integration
Importing 837 Files Explained
List of 837 Imports Explained
837 Import Explained
837 Import Matching Explained
Payer List Explained
Bulk Attachments
Bulk Attachments Explained
Review Bulk Attachments
.csv Integration
List of CSV Imports Explained
CSV Import Explained
Internal IDs for .csv integration
Payer ID List
Payer List Explained
API Integration
Get API Token
Create Webhook Endpoint
Edit/Delete Webhook Endpoint
What's New in daisyBill
daisyBill - Ambulatory Surgical Center (UB-04)
UB-04 Success Training #3: Bill Submission Topics
Last update
June 3, 2023
Bill Entry
Add Bill
Add Referring Provider
Apply Billing Template
Edit Bill
Copy Bill
Delete Bill
Bill Page Explained
Documents
Documents - Add / View / Edit / Delete
Add from Document Library
Bill Submission
Choose Bill Submission Method
daisyBill Mail Submissions
View UB-04
Bill Status
Incomplete
Accepted
Sent
Rejected
daisyBill Researching
Bill History
Bill History Explained
Add Note
Forward Bill Submission
Bill Tasks
Task: Patient Failed Review
Task: Injury Failed Review
Task: Bill Failed Review
Task: Document Required
Task: Send Bill
Tasks
Tasks Page Explained
Task Side Bar Explained
List of Bills
List of Bills Page Explained
Bill Tab
Procedure Codes Tab
Download Bills Ledger
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