Most Recent Articles
Nov 11, 2021
The Hartford Ignores TWO California Laws
By insisting The Hartford owed no payment for authorized treatment provided outside the Medical Provider Network (MPN), The Hartford pooh-poohed a clear-cut Cal...
Oct 13, 2022
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
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
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
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
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
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
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
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
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
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...
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Jun 28, 2023
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...