CA Med-Legal Reporting Deadline Extension Official
Oct 6, 2021
California’s Division of Workers’ Compensation (DWC) has officially extended emergency regulations which add 15 days to the usual time frame for Medical-Legal reporting.
Coming Soon: CA Med-Legal Billing Data
Sep 30, 2021
There’s only one way to understand, navigate, and improve workers’ compensation: by the numbers.Since the introduction of the new Medical-Legal Fee Schedule (MLFS) in ...
PPO Data Update: The Toll on CA Doctors Who Treat Injured Workers
Sep 29, 2021
DaisyBill’s California OMFS Reimbursement Reduction page tracks in minute detail the data around Preferred Provider Organization (PPO) and other discount contracts. Now, we’v...
TPA Changes: City of Alameda, Torrance Unified Schools
Sep 28, 2021
Two California public employers switched third-party administrators (TPA) recently, affecting bills for all dates of service. The City of Alameda and the Torrance Unified Sch...
Pasadena Is (Still) Violating CA Workers' Comp Law
Sep 27, 2021
As costs skyrocket, physicians flee the system, and injured workers find it harder and harder to find a doctor willing to treat them, California workers’ comp has yet to reck...
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MLFS Billing Tip: CA Med-Legal Deadlines Extended
Sep 23, 2021
As providers continue to grapple with COVID-19’s impact on healthcare systems, California Medical-Legal examiners (and workers’ comp claims administrators) are reminded: the ...
Liberty Mutual Stiffs QME - Attorneys Required
Sep 22, 2021
Hello California Workers’ Comp Attorneys, Medical-Legal physicians in this state need your help. Payers like Liberty Mutual have found a way to skirt the Independent ...
Dollar Tree Stores/Sedgwick Refuse Payment for Authorized Treatment
Sep 21, 2021
Authorization is, by definition, a promise.It’s the promise that, once a doctor obtains authorization from an employer to treat an injured worker, the employer will pa...
Med-Legal Reports: Always Include Page Count Verification!
Sep 16, 2021
California’s new Medical-Legal Fee Schedule (MLFS), effective from April 2021, brought with it new rules for reporting, billing, and payment. Among those rules: when submitti...
SCIF Hacks IBR by Switching (Incorrect) Denial Reason
Sep 15, 2021
There’s a serious inequity in the appeals process by which California workers’ comp providers can dispute incorrect reimbursement for authorized treatment. State Compensation...
A Doctor's Warning: PPOs "Helped Close Our Doors"
Sep 14, 2021
Recently we received an email from a retired California doctor. This doctor, after 35 years treating injured workers, was unable to sell his practice — because no other provi...