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Most Recent Articles
Oct 13, 2022
4 min read
0
How "Fast-Track" UR Can Backfire for CA Providers
California’s “Fast-Track” Utilization Review (UR) initially sounded like good news for doctors who provide the first treatment following a work-related injury. ...
Jan 11, 2023
4 min read
0
Sedgwick Authorization Sewer - Why CA Needs UR Reform
An injury occurs at work. The injured worker sees a doctor. The doctor concludes that the worker needs a consultation from a specialist. Per California law, the treating doct...
Feb 15, 2023
7 min read
0
Data: CA UR Decisions 2022
One of the great sources of friction in California workers’ comp is the Utilization Review (UR) and treatment authorization process — the critical process that determines whe...
Apr 26, 2023
2 min read
0
Video: 30-Second RFAs for CA Workers' Comp
Let’s face facts: treating injured workers is a massive administrative pain for California providers and their staff. And that pain starts with the mandated employer authoriz...
May 2, 2023
2 min read
0
RFA: What's the Fax Number? daisyAuth Knows
They don’t make it easy to treat injured workers in California.To receive payment, a provider must obtain permission from the employer or insurer for all treatment ren...
May 9, 2023
2 min read
0
RFA: How Technology Can Document UR Decisions
For providers, workers’ comp’s biggest challenges are obtaining authorization for treatment, and getting paid for providing the authorized treatment. Both chall...
May 22, 2023
2 min read
0
RFA: The Easy Way to Manage UR Decisions
So many injuries. So many Requests for Authorization (RFAs). So many Utilization Review (UR) decisions to keep track of — and only so much time in a day.Rest easy, pro...
Jun 6, 2023
2 min read
0
Missing UR Decisions (and Other RFA Problems) Solved
If your practice treats injured workers, you can’t get reimbursed without proof of authorization. Fortunately, California makes submitting Requests for Authorization (...
Jun 7, 2023
3 min read
0
5 Ways the RFA System Burdens Providers
In California, injured workers’ access to care depends directly on how physicians manage the state’s onerous authorization and Utilization Review (UR) requirements.
Jun 27, 2023
4 min read
0
DWC to Injured Workers: Beg or Pay For Your Care
A close reading of an official Division of Workers’ Compensation (DWC) document reveals something that should sincerely disgust every California employer, employee, health ca...
Jun 28, 2023
4 min read
0
Does DWC 1 Form Violate CA Law?
Workers’ comp is often described as a “Grand Bargain” between employers and employees. The bargain terms are simple: employees cannot sue their employers for work-related inj...
Jul 13, 2023
4 min read
5
CA Adjuster Describes Injured Workers' Nightmare Scenario
Today we recount a too-familiar story that starts with a workplace injury and ends with an injured worker in collections — all because California can’t muster the stomach to ...
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