california division of workers' compensation
May 12, 2025
Sedgwick Stiffs Doctors, County of LA Taxpayers Pick Up the Tab
Sedgwick Claims Management Services, Inc. has made it a business practice to defy California workers’ compensation laws, and public entities like the County of ...
May 9, 2025
Diabolical Discounts: Long Beach Pays Doctor $32 to Treat Injured Employee
Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extrem...
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May 8, 2025
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
As daisyNews reported yesterday, Helmsman Management Services, LLC attempted to claw back payment from a California provider for plainly bogus reasons. We debunked those reas...
May 1, 2025
Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)
We have a question for California’s Division of Workers’ Compensation (CA attorney comments are always welcomed, too): What should a medical practice do in the followi...
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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...
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...
Mar 27, 2025
Sedgwick’s Abuse of Providers Should Terrify Employers
A question for California employers: If Sedgwick Claims Management Services, Inc. (Sedgwick) treats doctors as poorly as our data reveal, what is the impact on your injured e...
Mar 5, 2025
CA Farce Alert: $300K to Study Nonexistent UR Data
The California Division of Industrial Relations (DIR) has outdone itself in bureaucratic absurdity—proposing to spend $300,000 on a study without any data to study. In...
Feb 24, 2025
CA: IBR Fee Increase - DWC Web Page Lists Wrong Amount
In 2025, California providers must pay more to file for Independent Bill Review (IBR) to dispute improper reimbursements from payers, due to an increased IBR filing fee. ...
Feb 12, 2025
CA OMFS: Additional 2025 Pathology, Clinical Lab Fee Schedule Update
The California Division of Workers’ Compensation (CA DWC) issued an additional update to the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (O...
Jul 25, 2023
Sedgwick Must Be Fined: An Open Letter to the CA DWC
To: California Division of Workers’ Compensation (DWC)From: daisyBillSubject: 102,498 Sedgwick Audit ComplaintsWe hope this message finds you well. We wr...
Sep 15, 2022
Data! Top 10 Claims Admins: CA Electronic EOR Compliance
Electronic Explanations of Review (e-EORs) are a non-negotiable requirement of workers’ comp electronic billing. Within 15 working days of receiving a provider’s e-bill, the ...