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CA: New DWC Form 7 Warps Workers' Comp Reality
Nov 7, 2024
CA: New DWC Form 7 Warps Workers' Comp Reality
California’s Division of Workers’ Compensation (DWC) announced an update to the DWC 7, one of many mandated workers’ comp forms. Employers must, by law, display the in...
Injured Workers Are Gold Mines for Insurers
Nov 5, 2024
Injured Workers Are Gold Mines for Insurers
The numbers are in, and they tell a sobering tale. Nationwide, workers’ comp insurers are raking in profits from employers’ premiums—even as workers’ comp in states li...
Arkansas Outpaces CA in Workers' Comp Compliance Innovation
Nov 4, 2024
Arkansas Outpaces CA in Workers' Comp Compliance Innovation
California is the most populous state in the Union, a global hub of technological innovation, and the fifth-largest economy on the planet. Yet when it comes to moderni...
Tristar Risk Management: 21,719 Audit Complaints Filed
Nov 1, 2024
Tristar Risk Management: 21,719 Audit Complaints Filed
It’s a dubious distinction, but Tristar Risk Management’s non-compliance rate is practically 100%. We have encountered consistent failures to abide by California worke...
LA Metro Transit Authority: 4,955 Audit Complaints Filed
Oct 31, 2024
LA Metro Transit Authority: 4,955 Audit Complaints Filed
The Los Angeles County Metropolitan Transit Authority (LA Metro) is making it harder for California doctors to treat its injured employees—and has given no indication of taki...
Walmart to Change Clearinghouse & Bill Review
Oct 30, 2024
Walmart to Change Clearinghouse & Bill Review
Currently, Walmart conducts its bill review internally and directs providers to send electronic bills (e-bills) to clearinghouse vendor Data Dimensions. However, starting...
CA Alert: ESIS e-Bill Rejections (and What to Do)
Oct 29, 2024
CA Alert: ESIS e-Bill Rejections (and What to Do)
Third-party administrator (TPA) ESIS is improperly rejecting valid e-bills from California providers, citing an inexplicable, seemingly random (and definitely non-compliant) ...
Paduda (Unintentionally) Blasts CA Workers' Comp
Oct 28, 2024
Paduda (Unintentionally) Blasts CA Workers' Comp
A recent edition of Joe Paduda’s Managed Care Matters newsletter absolutely nails the systemic issues that plague California workers’ comp. The only twist? Mr. Paduda wasn’t ...
TX DWC Identifies "Poor" Work Comp Carriers
Oct 25, 2024
TX DWC Identifies "Poor" Work Comp Carriers
The Texas Division of Workers’ Compensation (TX DWC) has released its official 2024 rankings of workers’ compensation insurance carriers—and the results are bad news for a ha...
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Oct 23, 2024
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Recently, we shared how Sedgwick Claims Management Services repeatedly took inflated Preferred Provider Organization (PPO) discounts from a California orthopedic practice in ...
Sedgwick Stiffs CA Practice for Over $300,000
Oct 22, 2024
Sedgwick Stiffs CA Practice for Over $300,000
In California, claims administrators can siphon staggering amounts of revenue from practices using invalid Preferred Provider Organization (PPO) discounts—and doctors have no...
Occupational Health: Join daisyBill at NAOHP 2024
Oct 21, 2024
Occupational Health: Join daisyBill at NAOHP 2024
Next up on daisyBill’s cross-country tour of workers’ comp (and comp-related) conferences: the National Association of Occupational Health Professionals (NAOHP) conference!