California DWC

CA DWC Defies Law, Botches WCIS

Without reliable data, no government can understand—let alone solve—the problems of any major system. Yet California’s Division of Workers’ Compensation (DWC) has openly defi...

EK Health: Denying Care Helps Injured Workers

EK Health wants you to know that Utilization Review (UR) is not a soulless tool that payers use to deny injured workers the care recommended by their treating physicians....

CA DWC & Maximus Rig IBR to Hand Sedgwick the Win

The California Division of Workers’ Compensation (DWC), nominally responsible for enforcing workers’ comp laws, regulations, and rules for all parties involved, continues to ...

CA Workers' Comp: Broken by Design?

In response to our recent report on new, burdensome regulatory changes proposed by California’s Division of Workers’ Compensation (DWC), a California provider sent us an impa...

CA DWC to Impose Costly New Reporting Burdens on Providers

California’s Division of Workers’ Compensation (DWC) is proposing major changes to the forms providers use for injured workers’ Progress Reports, the Doctors’ First Report of...

LA Metro Transit Authority: 12,879 Audit Complaints Filed

The Los Angeles County Metropolitan Transit Authority (LA Metro), a public self-insured employer, fails to fulfill one of its most basic (but essential) legal obligations to ...

DWC's Updated IBR Form - F Is for Fail

California’s Division of Workers’ Compensation (DWC) recently updated Form IBR-1, which providers use to request an Independent Bill Review (IBR)—but did so without publicizi...

CA OMFS Update: Physician Services (Q3 2024)

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 ...

Anthem's THM Network Closes, Stiffs Providers

Workers’ comp providers—in particular ancillary providers like physical therapists (PTs)—take note: if you have treated injured workers through Anthem’s Transparent Health Ma...

DWC MPN Meeting Accomplishes Nothing

Last week, California’s Division of Workers’ Compensation (DWC) held an informal stakeholder meeting to discuss its proposed changes to the regulations governing Medical Prov...

acūrrō Reprocesses Underpaid CA Bills

Sometimes, seeking correct reimbursement for treating injured workers doesn’t require a battle between providers and payers. Claims administrators and their vendors ca...

CA MPNs Harm Employers, Injured Workers & Providers

California’s Medical Provider Network (MPN) system is an unmitigated failure, causing genuine harm to injured workers, health care providers, and employers. The Divisi...