MPN
Jul 27, 2022
CA DWC Updates MPN List
The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs). The DWC added five new MPNs to the list, and cha...
Jun 8, 2022
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
California workers’ comp allows discount networks to bleed the doctors who treat injured workers. Unfortunately for these workers and their employers, many of these financial...
Apr 26, 2022
Claims Admin Directory: FREE MPN Info Added!
In California workers’ comp, the Medical Provider Network (MPN) system is confusing and convoluted — largely by design. It is nearly impossible for doctors to locate i...
Apr 26, 2022
CA MPNs: 10 Facts About Monetized Provider Networks
It is crucial for doctors to understand both how California Medical Provider Networks (MPNs) operate to restrict doctors from treating injured workers and how some “entities”...
Mar 14, 2022
PPOs Force Doctors to "Pay-to-Play"
Whether in business, politics, or sports, forcing professionals to pay for the privilege of simply doing their jobs (aka “pay-to-play”) is indefensible. But arguably, ...
Nov 30, 2021
10 Ways to Fix CA Workers' Comp
Today, the California Division of Workers’ Compensation (DWC) will host a virtual public meeting “to hear ideas to improve the efficiency and quality of care provided to inju...
Nov 16, 2021
Zenith Boots Doctor From MPN per Anthem PPO (Part II)
Our tale of one doctor’s struggle with the Anthem Blue Cross Preferred Provider Organization (PPO) took a disturbing — if predictable — turn.Despite a doctor’s request...
Nov 11, 2021
The Hartford Ignores TWO California Laws
By insisting The Hartford owed no payment for authorized treatment provided outside the Medical Provider Network (MPN), The Hartford pooh-poohed a clear-cut Cal...
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May 20, 2021
MPNs: The Jekyll and Hyde of Workers' Comp
We’ve argued that MPNs are mostly a drag on the workers’ compensation system. But as some employers demonstrate, they don’t have to be.When employers use MPNs to maint...
May 11, 2021
Anthem/SCIF: MPN Kickback Scheme?
Healthcare software firm CareCloud recently agreed to a $3.8 million settlement, in part to resolve allegations that it traded unlawful payments for referrals, in violation o...
Apr 27, 2021
California MPNs: Camouflage for Discounts and Denials
Medical Provider Networks (MPNs) are under fire — as they should be.Far too often, Calforina claims administrators (aka ‘payers’) use MPNs — and providers’ unfamiliari...
Apr 26, 2021
Payola? SCIF / Anthem Coordinate Provider MPN Shakedown
State Compensation Insurance Fund (SCIF) and Anthem Blue Cross (Anthem) have hacked the Medical Provider Network (MPN) system to apparently shake down providers. A recent ema...