California DWC

daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
Mar 12, 2024
daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
It may be a new year, but it’s the same ol’ Sedgwick. However, the California Division of Workers’ Compensation (DWC) has indicated it may take a different (and hopefu...
2024 CA Physician Fee Schedule Changes
Feb 2, 2024
2024 CA Physician Fee Schedule Changes
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 ...
DWC Removes Critical Info From FAQ Page
Feb 1, 2024
DWC Removes Critical Info From FAQ Page
For all the ways California providers can be denied reimbursement for treating injured workers, the state offers one solid protection: a simple (if poorly enfor...
CA OMFS Update: 2024 'WC' Report Billing Codes
Jan 31, 2024
CA OMFS Update: 2024 'WC' Report Billing Codes
California’s Division of Workers’ Compensation (DWC) announced reimbursement updates to the Physician and Non-Physician Practitioner Services section of the Official M...
Sedgwick Is Only Getting Worse
Jan 24, 2024
Sedgwick Is Only Getting Worse
When regulators allow payers to disregard workers’ compensation laws and regulations with impunity, providers cannot help but view the system as rigged against ...
CA: Will DWC Publish Physician UR Denial Data in 2024?
Dec 12, 2023
CA: Will DWC Publish Physician UR Denial Data in 2024?
January 1, 2024 is approaching. Will the California Division of Workers’ Compensation (DWC) comply with state law requiring the DWC to publish physician utilization (U...
CA DWC: Continued Failure of Regulatory Oversight
Dec 5, 2023
CA DWC: Continued Failure of Regulatory Oversight
California has laws and regulations requiring claims administrators to timely and compliantly conduct Utilization Review (UR) of every treatment recommended by an injured wor...
Attn CA DWC: Where Is the UR Reporting System?
Dec 4, 2023
Attn CA DWC: Where Is the UR Reporting System?
In 2014, California legislators enacted laws requiring employers to conduct Utilization Review (UR) for every treatment recommended for a work-related injury. I...
DWC's New MPN List Helps No One
Oct 30, 2023
DWC's New MPN List Helps No One
California’s Medical Provider Network (MPN) system is an unmitigated disaster — and the latest “solution” from the Division of Workers’ Compensation (DWC) is laughable in its...
Why Does CA DWC 1 Form Fail to Mention Mandated MAAs?
Oct 26, 2023
Why Does CA DWC 1 Form Fail to Mention Mandated MAAs?
The DWC 1 form, created by California’s Division of Workers’ Compensation (DWC) to satisfy its legal mandate to inform newly injured workers of their rights and benefits, fai...
DWC 1 Does Not Help Injured Workers Navigate MPNs
Oct 23, 2023
DWC 1 Does Not Help Injured Workers Navigate MPNs
As California considers desperately needed reforms of the Medical Provider Network (MPN) system, one reform is arguably more necessary and easily achievable than most: fully ...
CA DWC 1 Form Throws Wounded Workers to Wolves
Oct 19, 2023
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...