california division of workers' compensation

Second Review Snub: The New Payment Denial Strategy

California law requires payers to respond to a provider’s Second Review appeal within 14 days. If a payer fails to respond, no regulation prohibits the provider from submitti...

Providers: Opt Out of CCMSI VCC Immediately

In most states, payers must respond to healthcare providers’ workers’ comp treatment bills with remittance advice in the form of an Explanation of Review/Benefits (EOR/EOB) t...

CA IBR Ordered Payers to Remit $2M+ in 2026 So Far

Independent Bill Review (IBR) cases in the first six months of 2026 resulted in payers being ordered to send additional reimbursements to California providers totaling...

daisyNews: Top 10 Articles of 2026 (So Far)

The year isn’t over, but summer is finished and 2026 has given daisyNews plenty to report on, expose, analyze, and fume about. Before we see what the rest of this year...

CA Confirms Nicole Richardson as DWC Director

After serving months as acting Administrative Director (AD) of the California Division of Workers’ Compensation (CA DWC), Nicole Richardson is now officially in charge of the...

Sedgwick Ignores IBR Ruling, Leaves Bill Underpaid

In our experience, Sedgwick Claims Management Services, Inc. isn’t known for consistently paying providers correctly or adhering to California payment laws and regulations. <...

UC Health Doctors Are Unionizing. Can Comp Doctors Unite?

Organizers are pushing hard for the 10,000 or so attending physicians in University of California health systems (UC) to unionize, citing excessive workloads, insufficient st...

NY: WCB Provider Webinar Series Returns August 18

New York’s Workers’ Compensation Board (WCB) will host the next installment of its What Providers Need to Know webinar series on Tuesday, August 18, 2026, from 12:00 to 1:00 ...

CA: RAND Finds SB 1160 Had Little Impact on UR

As daisyNews reported previously, California’s Department of Industrial Relations (DIR) paid RAND $300,000 to study the impact of Senate Bill 1160 on Utilization Review (UR),...

CWCI Cumulative Trauma Report: Where’s the Data?

A new report from the California Workers’ Compensation Institute (CWCI) is reverberating across the industry, with the organization purporting to document a shocking rise in ...

CA: West Bend Insurance's EOR Non-Compliance

West Bend Insurance Company (WBIC) is not among the largest payers in our systems, handling less than 500 of our providers’ bills annually. That doesn’t ...

CA: Don’t Waste Your Time on RAND’s UR Study

If California’s Department of Industrial Relations (DIR) had taken $300,000 of taxpayer money, thrown it into a gravel pit, and set it on fire, it would have been only slight...