Most Recent Articles

Sedgwick (Still!) Owes CA Practice $500k+ After Bogus PPO Discounts

Sedgwick Claims Management Services,Inc. has withheld hundreds of thousands of dollars in reimbursement from a single California orthopedic practi...

CA: “Lack of Effort” re: Debit Cards Shows Payers' Priorities

Workers’ Comp Executivereports that California payers show little interest in paying injured workers indemnity benefits with debit cards despite a...

Deranged Zenith “Offers” Doctor 31% State Fee Schedule for DME

Workers’ comp has plummeted to a new low in payers’ relentless attempts to deny fair payment to the doctors who treat injured workers.The Zenith’s recent effort to pay...

Provider Alert: Do Not (Not!) Sign PhysNet Discount “Agreement”

A California provider narrowly avoided financial pain when their office signed (but thankfully never delivered) a reimbursement discount agreement PhysNet sent to the practic...

Denials/Reductions for Insufficient E/M Documentation Continue

We recently warned providers about an emerging trend among California workers’ comp claims administrators: denying payment for Evaluation and Management (E/M) services in the...