California DWC

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...

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),...

CA: daisyBill Presents Hard Truths to CHSWC

At a June 26 meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC), daisyBill Co-founder and CEO Catherine Montgomery detailed some of the...

Liberty Mutual's “Payment Holiday”: A Vacation From CA Law

daisyBill submits millions of bills for injured workers' treatment every year. We've heard every excuse payers can produce for failing to reimburse, but Liberty Mutual just s...

CA Fee Schedule Update: Physician Services (Q3 2026)

The California Division of Workers’ Compensation (CA DWC) issued a third-quarter update to the Physician and Non-Physician Practitioner Fee Schedule for workers’ compensation...

The Hartford Doubles Down on Improper Payment Denials (Part 2)

California consistently fails to uphold one of the most important legal principles of its workers’ comp system: treatment authorization assures payment to the healthcare prov...