California DWC
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 ...
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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...
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...
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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...
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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...
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...
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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 ...
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...
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...
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...
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...
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...