California DWC

CA: Employer Authorization Is Ultimately Worthless

California law mandates that once an employer authorizes treatment for an injured worker, that authorization may not be rescinded “for any reason,” theoretically guaranteeing...

Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted

Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...

Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted

Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...

Sedgwick: Gruesome and Abusive IBR Games

In California workers’ comp, providers cannot rely on authorization to guarantee payment — despite what the law says. Today’s article shows exactly how a claims administrator...

Berkshire Hathaway: 4,353 Audit Complaints Submitted

Berkshire Hathaway Homestate Companies (BHHC) is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers...

AmTrust: Serious Violation of CA e-Billing Law

AmTrust North America refuses to comply with the most basic workers’ comp electronic billing mandates. In that refusal, AmTrust completely undermines the purpose of workers’ ...

AmTrust: 31,514 Audit Complaints Submitted

AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...

CA OMFS Update: Outpatient/ASC

California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...

CA OMFS Update: Pathology & Clinical Laboratory

On March 30, 2022, the California Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Sched...

2022 CA OMFS Update: Physician Fee Schedule

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 ...

2022 CA OMFS Update: DMEPOS

California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...

PPO: No Provider Recourse for Unnamed Discounts

In California workers’ comp, the appeals process for disputing improper Preferred Provider Organization (PPO) reductions has a serious flaw.Routinely, Explanations of ...