California DWC

SCIF Makes Mockery of IBR and the DWC
May 15, 2023
SCIF Makes Mockery of IBR and the DWC
Yet again, we face another appalling round of "IBR Chicken,” the game in which a claims administrator refuses to shell out a dime to a California provider for services render...
Sedgwick Racks Up 79,318 DWC Audit Complaints
Apr 27, 2023
Sedgwick Racks Up 79,318 DWC Audit Complaints
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to ignore California workers’ comp billing regulations with impunity.Currently, Sed...
MPNs: CA Assembly Bill 1278 Guarantees Delayed Care
Apr 10, 2023
MPNs: CA Assembly Bill 1278 Guarantees Delayed Care
California Assembly Bill 1278, apparently designed to improve the disastrous Medical Provider Network (MPN) system, is nothing but a continued abdication of California...
Defense Attorney: "MPNs Benefit No One"
Apr 5, 2023
Defense Attorney: "MPNs Benefit No One"
An attorney who represents workers’ comp payers felt compelled to share his viewpoint on Medical Provider Networks (MPNs) with daisyBill. His take: MPNs are useless to employ...
What CA Doctors Must Know Before Signing a PPO Contract
Apr 4, 2023
What CA Doctors Must Know Before Signing a PPO Contract
Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs) are causing chaos for California employers, injured workers, and healthcare providers. Tha...
CA DWC Must Stop Pretending MPNs Work
Mar 30, 2023
CA DWC Must Stop Pretending MPNs Work
A real friend tells the truth, even when it’s uncomfortable to hear. As advocates for a better workers’ comp system, we haven’t been shy about pointing out its shortco...
CA MPN Access Requirements: Real or Mirage?
Mar 27, 2023
CA MPN Access Requirements: Real or Mirage?
On paper, an MPN (Medical Provider Network) is simply a group of providers established by an insurer or self-insured employer; injured workers may only seek care from the pro...
CA OMFS Update: Physician Services (Q2 2023)
Mar 24, 2023
CA OMFS Update: Physician Services (Q2 2023)
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 ...
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
Jan 30, 2023
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
California appears to turn a willfully blind eye to what seems like an abuse of the Independent Bill Review (IBR) system for Medical-Legal disputes.Data ...
Forbes Fluff Distorts CA Workers' Comp Realities
Jan 26, 2023
Forbes Fluff Distorts CA Workers' Comp Realities
The good folks at Forbes recently offered California doctors and injured workers a slap in the face, in the form of a political fantasy narrative thinly veiled as an objectiv...
CA e-EOR Compliance: 2022 Report Card
Jan 24, 2023
CA e-EOR Compliance: 2022 Report Card
Not everything in California workers’ comp is complicated. For example: when a provider chooses to bill electronically for medical services, California regulations req...
Tristar: 8,188 Audit Complaints Filed With CA DWC
Jan 5, 2023
Tristar: 8,188 Audit Complaints Filed With CA DWC
Using data generated by over 36,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...