California DWC

CA DWC 1 Form Throws Wounded Workers to Wolves

California law requires the Division of Workers’ Compensation (DWC) to provide clear and concise explanations of workers’ comp benefits to injured workers. This is a sensible...

CA DWC Fails to Support Injured Workers' Rights Under MPNs

When a California employee sustains a work-related injury, and the employer maintains a Medical Provider Network (MPN), it is the employer’s legal responsibility to (within o...

Obituary: Major CA Practice Quits Workers' Comp Treatment

RIP RehabOne Medical Group, 2004-2023California workers’ comp will lose a pillar of the provider community, effective at the close of this year. RehabOne will have pro...

SCIF Inept UR #6: Non-MTUS Guidelines Strike Again

Once again, State Compensation Insurance Fund (SCIF) and EK Health denied surgery for an injured worker by citing unadopted, alternative treatment guidelines outside of Calif...

FYI: Inaccurate DWC IBR Form May Cost Your Practice

California’s Division of Workers’ Compensation (DWC) has strict and specific requirements for providers who wish to dispute incorrect payment amounts through Independent Bill...

Tristar: 2,315 Audit Complaints Filed With CA DWC

Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity, burdening providers with administrativ...

Audit Complaints: Zurich Rejecting Valid e-Bills

Zurich Insurance North America is failing to reimburse providers for treating injured workers.Since early June, Zurich has incorrectly rejected 745 valid e-bills submi...

Shout Out: Texas DWC

At daisyNews, we consider it our duty to highlight the shortcomings of underperforming regulatory agencies like the California Division of Workers’ Compensation (DWC). That s...

Tristar Flouts Law - How Long Will IBR Take?

Tristar Risk Management seems extra comfortable ignoring payment laws and regulations, even by the woeful standards of California workers’ comp. As a result, daisyCollect has...

Sedgwick Must Be Fined: An Open Letter to the CA DWC

To: California Division of Workers’ Compensation (DWC)From: daisyBillSubject: 102,498 Sedgwick Audit ComplaintsWe hope this message finds you well. We wr...

CA IBR: Why Are Claims Admins Redacted From Decisions?

Accountability is critical to the functioning of any system, especially one upon which the health of injured workers depends. So we’re compelled to ask a question that’s been...

Untimely IBR Decisions - DWC Ignores CA Law

Recently, we shared the numbers demonstrating the absurd (and unlawful) lengths of time for which the Division of Workers’ Compensation (DWC) forces providers to wait for an ...