California DWC

CA MPNs Harm Employers, Injured Workers &  Providers
Jun 19, 2024
CA MPNs Harm Employers, Injured Workers & Providers
California’s Medical Provider Network (MPN) system is an unmitigated failure, causing genuine harm to injured workers, health care providers, and employers. The Divisi...
CA DWC: Claims Administrators' IBR Wingman
Jun 17, 2024
CA DWC: Claims Administrators' IBR Wingman
In California, claims administrators can expect little or no repercussions for failing to comply with workers’ comp payment laws and regulations. Meanwhile, the Divisi...
Sedgwick: 17,225 Audit Complaints Sent to DWC
Jun 14, 2024
Sedgwick: 17,225 Audit Complaints Sent to DWC
Sedgwick Claims Management, Inc. continues to defy California law and regulations for properly responding to Second Review appeals. And why wouldn’t they, without any consequ...
Sedgwick Denies/Ignores Hundreds of Appeals
Jun 10, 2024
Sedgwick Denies/Ignores Hundreds of Appeals
Sedgwick's persistent failure to pay providers in accordance with state workers' comp fee schedules and its refusal to respond compliantly to providers’ appeals are glaring v...
daisyData: CA e-EOR Most / Least Compliant Claims Admins
May 30, 2024
daisyData: CA e-EOR Most / Least Compliant Claims Admins
California mandates that all (repeat: all) workers’ comp claims administrators accept electronic bills from providers and respond to those e-bills with electronic Explanation...
CA DWC Website Deletions Enrich Claims Administrators
May 16, 2024
CA DWC Website Deletions Enrich Claims Administrators
Given the complexity of workers’ comp (and the myriad ways claims administrators improperly deny requests for treatment and payment), knowledge is a precious resource for pro...
daisyBill Sends 13K+ Sedgwick Violations to CA DWC Director
May 10, 2024
daisyBill Sends 13K+ Sedgwick Violations to CA DWC Director
Sedgwick’s consistent refusal to comply with California workers’ comp laws and regulations shows no signs of abating—in fact, it’s getting worse.Having been instructed...
CA DWC Deletes Med-Legal FAQ From Website
May 9, 2024
CA DWC Deletes Med-Legal FAQ From Website
California’s Division of Workers’ Compensation (DWC) is supposed to have a critical role in enforcing state laws and regulations. Just as critically, the DWC has a duty to
DWC Proposes Cutting Physician Dispensing Fees
Apr 9, 2024
DWC Proposes Cutting Physician Dispensing Fees
In February, California’s Division of Workers’ Compensation (DWC) proposed changes to the Official Medical Fee Schedule (OMFS) for workers’ comp.While there are a slew...
CA: 2024 Physician Fee Schedule 2.75% Increase Explained
Apr 3, 2024
CA: 2024 Physician Fee Schedule 2.75% Increase Explained
Have trouble keeping up with California’s multiple fee schedule updates this year? It’s not just you. As reported earlier this week, effective for all dates of service...
WCIRB: By Insurers, For Insurers
Mar 28, 2024
WCIRB: By Insurers, For Insurers
The Workers’ Compensation Insurance Ratings Bureau (WCIRB) is one of the most influential organizations guiding the decisions of legislators, regulators, and other stakeholde...
daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
Mar 12, 2024
daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
It may be a new year, but it’s the same ol’ Sedgwick. However, the California Division of Workers’ Compensation (DWC) has indicated it may take a different (and hopefu...