ASK A QUESTION

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.

Should I submit a corrected bill or request second review?

There are processes for submitting corrected electronic and non-electronic original bills. However, both processes are unreliable. We recommend taking one of the following actions instead:

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