Incorrect Reimbursement: E/M Downcoding

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

Denial Incorrect: No Authorization

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

Incorrect Reimbursement: No PPO / Network Reduction

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

Incorrect Reimbursement: CCI Edit

When an original bill is incorrectly denied or underpaid, DaisyBill advises filing a Second Review. Every request for Second Review submitted from DaisyBill is compliantly submitted using both a completed DWC Form SBR-1, as well as a compliant modified CMS 1500.

Incorrect Reimbursement: Physical Medicine / Chiropractic / Acupuncture

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

Denial Incorrect: PTP E/M Visit

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

Incorrect Reimbursement: PPO / Network Reduction Incorrectly Applied

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

99358 Denied As Not Reimbursable

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review.

Can I request second review when bills for automatically authorized services are denied?

Yes, you can! When the claims administrator incorrectly denies a bill for authorized services rendered, providers should request second review.

About Us

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.

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