california division of workers' compensation

CA Fee Schedule 2026: Pathology & Clinical Lab Update

California’s Division of Workers’ Compensation (CA DWC) updated the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (OMFS), effective for servi...

CA Fee Schedule 2026: DMEPOS Update

The California Division of Workers’ Compensation (CA DWC) has updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.All cha...

Genex Claims Marriott Doesn’t Accept e-Bills (It Does)

In California (and increasingly elsewhere), state law requires workers’ comp payers to accept providers’ electronic bills (e-bills) for the treatment of injured worker...

Gold Star: CA State Fund Reverses Denial, Pays Penalties & Interest

Improper payment denials and reductions are inevitable for providers who treat injured workers (more so than in group health or Medicare, which is why many physicians avoid w...

Insurers Are Fleecing CA Employers: TX Edition

Increasingly, employers are setting up shop in Texas, fleeing places like Gavin Newsom’s California.We can think of one contributing factor to this trend.Earlie...

CA: The Corruption Under Newsom’s Nose

California Governor Gavin Newsom has never been charged with (or even credibly accused of) any serious crime. However, the presidential hopeful may have a serious blind spot ...

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...

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...

Can CA Employers & Taxpayers Afford Ricardo Lara?

California employers are paying more for workers’ comp coverage even though rates are decreasing nationwide, courtesy of Insurance Commissioner Ricardo Lara. However, ...

CA: Formal Request to Revoke American Zurich MPN

In October, daisyBill formally petitioned the California Division of Workers’ Compensation (CA DWC) to revoke approval for the Medical Provider Network (MPN) that American Zu...

CA DWC Ignores IBR Law, Leaves Practice Short $75K+

Independent Bill Review (IBR) is supposed to protect California providers when payers refuse to correctly reimburse for injured workers’ treatment. Yet the Cali...

CA: Sedgwick’s Rampant Second Review Violations

For providers, Sedgwick Claims Management Services, Inc.’s routine violations of state law and regulations make it increasingly difficult to treat injured workers. For...