Most Recent Articles
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Apr 29, 2024
Orange County & Sedgwick "No Telehealth" Policy
According to Third-Party Administrator (TPA) Sedgwick, the County of Orange refuses to reimburse providers for treating injured employees via telehealth.Sedgwick claim...
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Apr 30, 2024
Despite Orange County/Sedgwick Whims, Telehealth Is Payable
In this second look at the County of Orange’s refusal to pay for telehealth treatment, we pose a critical question: What kinds of chaos will be unleashed if Orange Cou...
May 1, 2024
Orange County/Sedgwick: Preposterous MPN Telehealth Claim
What in the name of comp are the County of Orange and Third-Party Administrator (TPA) Sedgwick up to? As reported previously, Sedgwick insists Orange County will refus...
May 7, 2024
CorVel Corrects Reimbursement Errors
California workers’ comp fee schedules aren’t easy to keep up with. Subject to constant revision, the complex formulas for calculating correct reimbursement are more t...
May 13, 2024
Sedgwick Stiffs Doctors With Outdated Fee Schedule Rates
The California Division of Workers’ Compensation (DWC) increased reimbursements for physician services for dates of service on or after April 1, 2024. Yet Third-Party Adminis...
May 28, 2024
Santa Monica & Lien on Me Improperly Reimburse MDs
In California workers’ comp, claims administrators often suffer from a troubling payment syndrome we call “Fee Schedule Lag.” The symptoms of Fee Schedul...
Jun 3, 2024
daisyDefamation? Farmers Is Wrecking Workers' Comp
Workers’ comp fee schedules are complex, convoluted, and subject to update—but they are not subjective. Do the arithmetic correctly, and the proper reimbursement amount is a ...
Jun 26, 2024
CCSF Sends Corrected Payments to Providers
No one knows better than daisyBill how much payment abuse California workers’ comp providers endure.This is why our hearts blossom when claims administrators and their...
Jul 1, 2024
CA OMFS Update: Physician Services (Q3 2024)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
Oct 1, 2024
CA OMFS Update: Physician Services (Q4 2024)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...