Most Recent Articles
Sep 5, 2023
Tristar: 2,315 Audit Complaints Filed With CA DWC
Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity, burdening providers with administrativ...
Aug 31, 2023
Provider Alert: Sedgwick Can't Pay Bed Bath & Beyond Bills
FYI, providers: if your practice treats injured employees of the newly bankrupt Bed Bath & Beyond, you may have trouble getting paid.A daisyCollect provider recently b...
Aug 30, 2023
EK Health MPN Propaganda Reveals Ugly Truth
In a moment of self-serving honesty, EK Health acknowledged what providers already suspect: that MPNs are a cash-grab for “entities that provide physician network services” —...
Aug 29, 2023
Tristar Gives DWC Inane Defense of Non-Compliance
Tristar Risk Management violates clear California e-billing regulations, making it more costly and difficult for providers to treat injured workers.The Third-Party Adm...
Aug 28, 2023
DWC: Disregard Coupa/Maximus Emails
Well, this is awkward. California’s Division of Workers’ Compensation (DWC) weighed in on incidents involving strange emails to providers from Maximus, the DWC’s desig...
Aug 25, 2023
Sedgwick Roundup: TPA Remains Non-Compliant
We write a lot here and elsewhere about California’s failure to adequately enforce workers’ comp payment laws and regulations. This failure has created an environment that’s ...
Aug 24, 2023
Maximus - Coupa's Confusing Emails
As we reported earlier this week, a company called Coupa sent solicitation emails to providers, which bore the name and logo of Maximus, the private entity entrusted by Calif...
Aug 23, 2023
Account Analytics: Average Days to Payment
If no one tracks payment analytics for your workers’ comp bills, you’re probably missing critical information about your practice’s revenue from treating injured workers....
Aug 22, 2023
Provider UR Data Belies Rosy Insurer Claims
At a recent California Division of Workers’ Compensation (DWC) meeting, a representative from the California Workers’ Compensation Institute (CWCI) — an insurers’ organizatio...
Aug 21, 2023
CA Alert: Unsolicited Email Not From Maximus
Heads up, California providers. A daisyBill client alerted our staff to a strange email bearing the logo of Maximus Federal Services, the private organization entrusted by th...
Aug 17, 2023
Sedgwick Ignores Medical-Legal Bills
Some claims administrators treat California workers’ comp laws and regulations as optional — and there may be no more egregious example than Sedgwick Claims Management Servic...
Aug 15, 2023
RFA: UR Decision Data 2023
On Friday, a California Workers’ Compensation Institute (CWCI) representative reportedly cited a 95% approval rate for medical treatments requested by California providers. T...