Most Recent Articles

Walmart Bills: What Workers' Comp Providers Need to Know
Nov 15, 2024
Walmart Bills: What Workers' Comp Providers Need to Know
Where should workers’ comp providers send their bills for treating Walmart employees?With Walmart employing over 1.6 million people in the US alone, the answer to that...
Colorado: Workers' Comp "Insurer of Last Resort" May Go Private
Nov 14, 2024
Colorado: Workers' Comp "Insurer of Last Resort" May Go Private
Colorado Governor Jared Polis wants to reduce the state’s spending drastically—and seeks to do so in part with a controversial plan to privatize the workers’ comp “insurer of...
Florida: 5 Treatment Authorization Tips for Workers' Comp 2024 (Free Download!)
Nov 12, 2024
Florida: 5 Treatment Authorization Tips for Workers' Comp 2024 (Free Download!)
For better or worse, Florida does not allow providers to treat injured workers without prior authorization from the workers’ comp insurance carrier.Can this lead to ne...
CA: USC Switches Workers' Comp TPA
Nov 11, 2024
CA: USC Switches Workers' Comp TPA
The University of Southern California (USC), a self-insured employer, has switched the Third-Party Administrator (TPA) it uses to handle workers’ comp claims for its injured ...
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 ...