Frequently Asked Questions
Official Medical Fee Schedule (OMFS)
Answers to your questions about the fee schedules for ASC/Outpatient, DMEPOS, Pathology and Clinical Lab, Pharmaceuticals, and Physician Services.
Request for Authorization (RFA)
Utilization review definitions and important WCAB decisions about RFAs.
Report non-compliant claims administrators, so the system works for everybody.
Including Form 5021, DWC PR-2, DWC PR-3, DWC PR-4, and the DWC Lien Form.
What the Labor Code says about 5307.11 fee contracts and electronic billing.
Workers' comp claims administrators are responsible for paying bills for treatment of injured workers in a timely, compliant manner.
Request for Second Review (SBR)
When an original bill is incorrectly denied, DaisyBill advises filing a Second Review.
Workers' Comp Legislative Reform
Frequently asked questions about California workers' comp legislative reforms.
Medical Provider Networks (MPNs)
A Medical Provider Network, or MPN, is a list of providers established by the employer to restrict an injured employee’s choice of providers for the care guaranteed by Labor Code 4600.
Rules, regulations, and insights into electronic billing for California workers' compensation.
Medical-legal evaluators examine injured workers and create reports used to determine eligibility for workers' compensation benefits.
DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.
Drop us a line with any news you would like us to share or any issue that concerns you.