california division of workers' compensation

Gallagher Bassett Denies Payment for Non-Authorization (Despite Proof of Authorization)

California has a workers' compensation system in which payers can't lose.In practice, there are no penalties for refusing to pay a legitimate bill; no consequences for...

CA Providers Recovered $22M in 2025

Improper denials and payment adjustments are inevitable for California providers who treat injured workers. But in 2025, California providers recovered over $22 million using...

CA Fee Schedule: 2026 'WC' Report Billing Codes

California’s Division of Workers’ Compensation (CA DWC) recently announced updates to the Physician and Non-Physician Practitioner fee schedule, effective for dates of servic...

CA DWC Administrative Director Retires - Time for Change

A surprising resignation represents a chance for Governor Gavin Newsom to fix California’s broken workers’ comp system.daisyNews has reported extensively on the abysma...

CA DWC's UR Audits: A Keyhole View of a Statewide Crisis

As early as 2016, California legislators recognized the potential for payers to abuse Utilization Review (UR), the process by which payers decide whether to deny or approve t...

How Marriott Hides Its Doctors From Its Own Injured Workers

Imagine you're a Marriott employee who gets hurt on the job. California law allows Marriott to restrict your care to doctors in its Medical Provider Network (MPN). This means...

CA Employers: Who Profits When the CA DWC Ignores the Law?

It's time to confront a fundamental problem with California's workers' compensation system.California employers are paying higher workers' comp premiums, even as rates...

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...