Authorization

RAND Gets $300K for UR Study—What's the ROI?
Apr 30, 2025
RAND Gets $300K for UR Study—What's the ROI?
The California Department of Industrial Relations (DIR) plans to address the state’s broken Utilization Review (UR) system—by paying frequent contract recipient RAND Corporat...
CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"
Apr 21, 2025
CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"
Last week’s meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) made something clear: the Commission is serious about fixing what’s brok...
An Open Letter to CHSWC re: UR Abuse (cc: Governor Newsom)
Apr 15, 2025
An Open Letter to CHSWC re: UR Abuse (cc: Governor Newsom)
To the Members of the Commission on Health and Safety and Workers’ Compensation (CHSWC)CC: Governor Gavin NewsomRE: California’s Broken Utilization Review Syste...
daisyNews 2024 Top 10 Articles
Jan 15, 2025
daisyNews 2024 Top 10 Articles
It’s been another year of fighting the good fight here at daisyNews. With 2024 in the rearview mirror, let’s look back at the most popular articles that informed, expl...
NY vs CA: Treatment Authorization for Injured Workers
Dec 12, 2024
NY vs CA: Treatment Authorization for Injured Workers
Every state has an obligation to ensure injured workers can access the care they need with as few roadblocks as possible. That means empowering doctors to furnish trea...
Florida: 5 Treatment Authorization Tips for Workers' Comp 2024 (Free Download!)
Nov 12, 2024
Florida: 5 Treatment Authorization Tips for Workers' Comp 2024 (Free Download!)
For better or worse, Florida does not allow providers to treat injured workers without prior authorization from the workers’ comp insurance carrier.Can this lead to ne...
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
Sep 23, 2024
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
The Division of Workers’ Compensation (DWC), under Administrative Director George Parisotto, has allowed Liberty Mutual to deny thousands in payment owed to a California orth...
The $10,000 Lie California Tells Injured Workers
Sep 4, 2024
The $10,000 Lie California Tells Injured Workers
Lie: California workers receive immediate and continued treatment (up to $10,000) when they file a work injury claim.Fact: California allows claims administrato...
CA DWC Website Deletions Enrich Claims Administrators
May 16, 2024
CA DWC Website Deletions Enrich Claims Administrators
Given the complexity of workers’ comp (and the myriad ways claims administrators improperly deny requests for treatment and payment), knowledge is a precious resource for pro...
CA UR: AmTrust & Genex Deny Care With ODG (Again)
Apr 2, 2024
CA UR: AmTrust & Genex Deny Care With ODG (Again)
What suffering must befall injured workers before California bothers to enforce its meager Utilization Review (UR) requirements?When considering which treatments are n...
Will CA Clean Up Authorization/UR Issues?
Feb 9, 2024
Will CA Clean Up Authorization/UR Issues?
When it comes to payer abuse of the authorization process in healthcare, the jig isn’t exactly up yet — but federal legislators and regulators seem to be catching on to priva...
CA Authorization & UR Confusion Reigns
Feb 8, 2024
CA Authorization & UR Confusion Reigns
Last week, we reported on the California Division of Workers’ Compensation (DWC)’s decision to delete an important FAQ from its website. Until the deletion, the FAQ affirmed ...