California DWC

CA Providers Routinely Stiffed for IBR Filing Fee
Nov 22, 2024
CA Providers Routinely Stiffed for IBR Filing Fee
As reported yesterday, California providers' filing fee to request Independent Bill Review (IBR) will increase from $180 to $195 in 2025.IBR is the process by w...
CA: Alert - IBR Filing Fee to Increase in 2025
Nov 21, 2024
CA: Alert - IBR Filing Fee to Increase in 2025
Pursuing correct payment for treating injured workers is about to get even more expensive for California providers.When a claims administrator incorrectly denies or re...
CA: New DWC Form 7 Warps Workers' Comp Reality
Nov 7, 2024
CA: New DWC Form 7 Warps Workers' Comp Reality
California’s Division of Workers’ Compensation (DWC) announced an update to the DWC 7, one of many mandated workers’ comp forms. Employers must, by law, display the in...
Arkansas Outpaces CA in Workers' Comp Compliance Innovation
Nov 4, 2024
Arkansas Outpaces CA in Workers' Comp Compliance Innovation
California is the most populous state in the Union, a global hub of technological innovation, and the fifth-largest economy on the planet. Yet when it comes to moderni...
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Oct 23, 2024
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Recently, we shared how Sedgwick Claims Management Services repeatedly took inflated Preferred Provider Organization (PPO) discounts from a California orthopedic practice in ...
Sedgwick Removes 54% UR Denial Stat From Website
Oct 16, 2024
Sedgwick Removes 54% UR Denial Stat From Website
We knew it was only a matter of time. The question was how much time?Third-party administrator (TPA) Sedgwick Claims Management Services screamed the quiet part out lo...
Over 2,500 CA MPNs Vanish (Again)
Oct 11, 2024
Over 2,500 CA MPNs Vanish (Again)
By now, we’ve grown accustomed to the California Division of Workers’ Compensation (DWC) utterly failing to manage the state’s Medical Provider Network (MPN) sy...
Payers Deny 48% of CA Physician's Bills
Oct 9, 2024
Payers Deny 48% of CA Physician's Bills
Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...
CA OMFS Update: Physician Services (Q4 2024)
Oct 1, 2024
CA OMFS Update: Physician Services (Q4 2024)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
CA DWC Fails Employers and Employees
Sep 24, 2024
CA DWC Fails Employers and Employees
Without enforcement, no amount of laws or regulations can improve or even maintain a functioning workers’ compensation system. California is a tragic example of...
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
Sep 23, 2024
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
The Division of Workers’ Compensation (DWC), under Administrative Director George Parisotto, has allowed Liberty Mutual to deny thousands in payment owed to a California orth...
DWC's Failed WCIS Taints CHSWC Reports
Sep 12, 2024
DWC's Failed WCIS Taints CHSWC Reports
With 49 cents spent on administrative expenses for every dollar spent on actual benefits (over absurdly stretched 7-year claim durations) California workers’ comp is in a fou...