california division of workers' compensation

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...

Sedgwick Hits 298,034 Violations (and Counting)

Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...

CA DIR to Blow $1.25M On (Another) Questionable Comp Study

The California Division of Workers’ Compensation (CA DWC) is set to waste $1,250,000 in taxpayer dollars on a faulty “study” of non-existent data.The Department of Ins...

CA DWC Fails, Vendors Thrive, Employers Pay More

Fact: In California workers’ comp, the claims administrator is legally responsible for compliance with state laws and regulations, regardless of any outside vendor or agent t...

CA DWC's MPN List Disappears Yet Again

Leave it to the California Division of Workers’ Compensation (CA DWC) to fumble a relatively straightforward (but essential) task…over and over and over. The state age...

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...

Accelerated Claims Breaks CA Law, Only Accepts Bills by Mail

A Third-Party Administrator (TPA) has one relatively straightforward job: to handle injured workers’ claims on behalf of an employer or insurer.Accelerated Claims Serv...