DiasyBill offers one of the most robust reimbursement calculators for Workers Compensation claims based out of California. They call it their "Wizard"; the best part it its ability to calculate reimbursement for multiple provider types such as Professional, Facility/Outpatient, DME, & Anesthesia claims. The Wizard is extremely straightforward and easy to us, but they do offer a nice training webinar for new users that provides a thorough overview of the program. My favorite part of the Wizard is the "Reimbursement Receipt" it populates after calculating expected reimbursement based on your specific county in California, it shows all the minuet details and factors that go into calculating CA WC reimbursement such as relative weight and the conversion factors set by the Department of Workers Compensation in CA. They go one step further, allowing users to print off and use the reimbursement calculation summary for the utilization and inclusion in payer appeals for low reimbursement. Their customer service team is top-notch; they are ready to answer any questions you have about their software and if they cannot answer it or do not support or offer the feature you're looking for, they are always open to feedback on ways to make their software even better.

There are so many things that DaisyBill does right, but where they really hit it out of the park is with their web-based billing system for managing workers compensation claims. The layout of their system is extremely simple, but effective...you have access to everything you need to manage your claims along the top at all times. The best part of their system by far is their clearinghouse software that makes the electronic submission of WC claims as easy as 1-2-3. I really love how their system tracks each submission every step of the way until it arrives at the payer, at which time you get a reference number of payer receipt which can be used when those payer reps and adjusters try to tell you they don't have your claims on file. Their wizard is absolutely amazing too, if you are in California then you know how convoluted Workers Compensation billing and reimbursement is, well their Wizard makes it so anyone can calculate expected reimbursement per the most recent guidelines. What I really appreciate is the fact that they provide you with a summary of how they calculated the expected reimbursement for every claim which can be utilized in payer appeals to ensure you get additional payment if your claims are underpaid. Their software allows the electronic tracking and submission of attachments along with claims, which is a huge service that most other clearinghouses are surprisingly struggling with at this time.

I don't even know where to start with Daisy Bill. The company originated out of California with the mission of assisting healthcare providers with navigating through the maze that is California Workers Compensation. They offer a web-based billing system for managing workers compensation claims which is absolutely packed with amazing features that even high end billing systems and clearing houses are not currently offering. The best parts of Daisy Bill by far are their Billing Wizard and their built in clearinghouse for managing submission and reimbursement of medical claims. If you know anything about workers compensation across the country, then you will know that California has the most detailed and difficult reimbursement/billing guidelines. Their Billing Wizard contains a plethora of tools such as a reimbursement calculator by county that not only calculates your expected reimbursement on claims, but provides you with an extremely detailed summary of how they arrived at the expected payments based on the California methodology; you can literally print off the summary and include it in an appeal or reconsideration for low payment and send to the payers with the confidence that you will be able to capture any missed revenue. The wizard also calculates reimbursement for several provider types, such as Outpatient Facility/ASC, Professional, and Hospital. The interface of the wizard is extremely easy to use and can be picked up very quickly, which brings me to my next point. Their customer support is out of this world, they offered us a wide variety of training during implementation that allowed us to ensure we were using their software to maximize our efficiency. Another great part of the wizard is that is houses a large database of all WC payers in CA so I never have to go searching online for phone numbers, mailing addresses (claims/appeals), and much more. Their billing system also contains their own built in proprietary clearinghouse that puts other companies in the CH business, like Zirmed, Japari, Waystar, & Emdeon just to name a few, to shame in the Work Comp arena by offering direct lines of access and communication with the 5 main CHs in CA. I absolutely love how we can rely on their software to ensure our claims our going out the door electronically and being tracked the whole way through until payer receipt, which by the way every submission is accompanied by a reference number for payer acceptance so when those tricky payers try to tell you they don't have your claim on file you simply refer to your reference number and can be confident that they will locate it. This is just the tip of the iceberg in terms of what DaisyBill can do and they are working on expanding throughout the country to more and more states.