Most Recent Articles
Free: CA Med-Legal "Superbills"
May 10, 2022
Free: CA Med-Legal "Superbills"
Medical-Legal billing for California workers’ comp is fraught with complications, contradictions, and — of course — threats to physician revenue from less-than-scrupulous ent...
Med-Legal: Cannon Cochran Denies Payment for Interpreter Services
May 10, 2022
Med-Legal: Cannon Cochran Denies Payment for Interpreter Services
Medical-Legal physician evaluators, be advised: a disturbing payment denial tactic is catching on among California claims administrators. When responding to physician ...
Alert: Conduent Faxes Doctor Scam-ish Contract
May 4, 2022
Alert: Conduent Faxes Doctor Scam-ish Contract
California’s Official Medical Fee Schedule (OMFS) establishes the rates at which claims administrators must pay providers who agree to treat injured workers. But rather than ...
Conduent Scam-ish Contract Misrepresents Payer
May 3, 2022
Conduent Scam-ish Contract Misrepresents Payer
Recently, we alerted the workers’ comp community to the efforts of Conduent, acting on behalf of Third-Party Administrator (TPA) Athens Administrators, to reduce the amount o...
Conduent Repeatedly Badgers Doctor With Calls
May 2, 2022
Conduent Repeatedly Badgers Doctor With Calls
California law establishes an Official Medical Fee Schedule (OMFS), which lists reimbursements owed to providers who agree to treat injured workers. But rather than reimbursi...
Mitchell Hustles for MPA, Insurance Co. of the West
Apr 28, 2022
Mitchell Hustles for MPA, Insurance Co. of the West
California workers’ comp doctors, keep screening your phone calls. Mitchell International, on behalf of the Municipal Pooling Authority (MPA) and Insurance Company of the Wes...
CA Med-Legal: $76 Million Owed For Record Review in First Year
Apr 27, 2022
CA Med-Legal: $76 Million Owed For Record Review in First Year
It’s been just over a year since California adopted the new Medical-Legal Fee Schedule (MLFS). Effective April 1, 2021, the new MLFS represented the first incre...
CA Med-Legal How-To: Collect Penalty & Interest Payments
Apr 27, 2022
CA Med-Legal How-To: Collect Penalty & Interest Payments
California physician evaluators, be advised: when claims administrators are late in paying for Medical-Legal services, penalty and interest payments apply. However, inadequat...
CA MPNs: 10 Facts About Monetized Provider Networks
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”...
Claims Admin Directory: FREE MPN Info Added!
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...
NYS How-To: Register for XML Submissions
Apr 25, 2022
NYS How-To: Register for XML Submissions
New York State’s much-needed transition to electronic billing marches on, but not without its growing pains.Namely, the NYS Workers’ Compensation Board (WCB) requires ...
Alert: Mitchell Hustles Providers for Liberty Mutual
Apr 21, 2022
Alert: Mitchell Hustles Providers for Liberty Mutual
Providers, be warned: Mitchell International, a company offering “workers’ compensation bill review & claims management services,” seems to be playing the hustler on behalf o...