California DWC

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...
"Automatic" Authorization Fails CA Injured Workers
Jul 14, 2023
"Automatic" Authorization Fails CA Injured Workers
Today we explore how “automatic” authorization, a law passed by California in SB 1160, presents yet another absurd circular error failure for newly injured workers and their ...
CA Adjuster Describes Injured Workers' Nightmare Scenario
Jul 13, 2023
CA Adjuster Describes Injured Workers' Nightmare Scenario
Today we recount a too-familiar story that starts with a workplace injury and ends with an injured worker in collections — all because California can’t muster the stomach to ...
Tristar: 3,678 Audit Complaints Filed With CA DWC
Jul 12, 2023
Tristar: 3,678 Audit Complaints Filed With CA DWC
Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity. Tristar failed to send electron...
California DWC - Division of Wretched Compensation
Jul 11, 2023
California DWC - Division of Wretched Compensation
Immediately after an employee reports a work-related injury, the employer’s claims administrator is allotted up to 90 days to accept or reject liability for the reported inju...
CA OMFS Update: Physician Services (Q3 2023)
Jul 10, 2023
CA OMFS Update: Physician Services (Q3 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 ...
Does DWC 1 Form Violate CA Law?
Jun 28, 2023
Does DWC 1 Form Violate CA Law?
Workers’ comp is often described as a “Grand Bargain” between employers and employees. The bargain terms are simple: employees cannot sue their employers for work-related inj...
DWC to Injured Workers: Beg or Pay For Your Care
Jun 27, 2023
DWC to Injured Workers: Beg or Pay For Your Care
A close reading of an official Division of Workers’ Compensation (DWC) document reveals something that should sincerely disgust every California employer, employee, health ca...
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Jun 20, 2023
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Recently, the Medical Director of a large medical group sent an email to daisyBill, explaining their decision to "opt out" of treating injured workers in California. T...