California DWC

Over 2,500 CA MPNs Vanish (Again)

By now, we’ve grown accustomed to the California Division of Workers’ Compensation (DWC) utterly failing to manage the state’s Medical Provider Network (MPN) sy...

Payers Deny 48% of CA Physician's Bills

Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...

CA OMFS Update: Physician Services (Q4 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 ...

CA DWC Fails Employers and Employees

Without enforcement, no amount of laws or regulations can improve or even maintain a functioning workers’ compensation system. California is a tragic example of...

CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist

The Division of Workers’ Compensation (DWC), under Administrative Director George Parisotto, has allowed Liberty Mutual to deny thousands in payment owed to a California orth...

DWC's Failed WCIS Taints CHSWC Reports

With 49 cents spent on administrative expenses for every dollar spent on actual benefits (over absurdly stretched 7-year claim durations) California workers’ comp is in a fou...

Broken CA Workers' Comp Takes 7 Years to Close Claims

In California, closing an injured worker’s claim takes over twice as long as the national median. According to a report from the Workers’ Compensation Insurance...

The $10,000 Lie California Tells Injured Workers

Lie: California workers receive immediate and continued treatment (up to $10,000) when they file a work injury claim.Fact: California allows claims administrato...

daisyNews Top 10 Articles January-June 2024

What mattered most to workers’ comp providers, billers, and other industry pros in the first two quarters of 2024? Let’s take a look at our most-read articles from January th...

CCCSIG Adds Bogus "Expiration Date" to UR Approval

Let’s be absolutely clear: in California workers’ comp, treatment authorization does not expire. Once Utilization Review (UR) determines that treatment is authorized, there i...

Apricus Applies Massive, Invalid PPO Discount for Sedgwick

Specialty network vendor Apricus, acting on behalf of Third-Party Administrator (TPA) Sedgwick, recently applied an invalid Preferred Provider Organization (PPO) discount to ...

WCIRB Smoke & Mirrors Misinform CA Employers, Stakeholders

As daisyNews has long argued (and Workers’ Comp Executive recently pointed out), California has a major problem with how it assesses the challenges of workers' compensation: ...