California DWC
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 24, 2025
Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)
Another fee schedule update, another Sedgwick screw-up. Like clockwork, Sedgwick Claims Management Services, Inc. ignores California's fee schedule updates, shortchang...
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...
Apr 10, 2025
Sedgwick’s Shell Game: From Coventry to CareWorks, the Chicanery Continues
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA), appears to be throwing any available spaghetti at the wall to continue funneling e...
Apr 8, 2025
CA OMFS Update: Physician Services (Q2 2025)
California’s Division of Workers’ Compensation (CA DWC) issued a second-quarter update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sch...
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Apr 2, 2025
Sedgwick Owes Practice Over $570K…Has Paid Just $12K
Readers may recall last year’s daisyNews report on how Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. underpaid a California orthopedic provider by...
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 11, 2025
Liberty Mutual's Ongoing e-EOR Violations Hurt Employers
Liberty Mutual’s ongoing failure to consistently adhere to California workers’ comp regulations should raise concerns for employers and healthcare providers. Despite c...
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 14, 2025
CA Audit Complaint: Prime Administrators Fails to Accept e-Bills
Prime Administrators, a Third-Party Administrator (TPA), has been blatantly non-compliant with California workers' comp billing and payment requirements for the last f...