California DWC

CA DWC Fails to Support Injured Workers' Rights Under MPNs
Oct 17, 2023
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
Oct 4, 2023
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
Sep 29, 2023
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
Sep 14, 2023
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
Sep 5, 2023
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
Jul 31, 2023
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
Jul 27, 2023
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?
Jul 26, 2023
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
Jul 25, 2023
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?
Jul 20, 2023
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
Jul 18, 2023
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 ...
Tristar Ignores CA Second Review Law
Jul 17, 2023
Tristar Ignores CA Second Review Law
We don’t need further evidence that California workers’ comp is corrupted beyond any reasonable person’s notions of fairness, justice, or equity — but here’s Tristar Risk Man...