Most Recent Articles

CA DWC: Claims Administrators' IBR Wingman

In California, claims administrators can expect little or no repercussions for failing to comply with workers’ comp payment laws and regulations. Meanwhile, the Divisi...

Travelers Defies IBR, Shorts CA QME

How many ways can an insurer violate workers’ comp payment laws, regulations, and rules on a single bill?Travelers may have set the benchmark by refusing to correctly ...

Payers Deny 48% of CA Physician's Bills

Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...

CA Advances New Med-Legal Law. Will CA DWC Ignore It?

On June 2, the California Assembly unanimously passed Assembly Bill 1293, which aims to improve the state’s Medical-Legal process for resolving disputes between injure...

Sedgwick Stiffs QME With “Denial Dump” EOR

Sedgwick Claims Management Services, Inc. is raking in profits one unpaid bill at a time through non-compliance, invalid denial reasoning, ...

CA: No Authorization Required for Med-Legal Diagnostic Tests

California providers: You do not need authorization to conduct diagnostic testing as part of a Medical-Legal evaluation. And yes, the claims administrator is responsib...

CA Med-Legal: Do Not Review Records Without Proper Declaration & Attestation

A warning for California doctors conducting Medical-Legal evaluations: Do not review medical records where the parties failed to deliver those records in accordance with stat...