California DWC

Sedgwick: Gruesome and Abusive IBR Games
Jun 15, 2022
Sedgwick: Gruesome and Abusive IBR Games
In California workers’ comp, providers cannot rely on authorization to guarantee payment — despite what the law says. Today’s article shows exactly how a claims administrator...
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Apr 18, 2022
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Berkshire Hathaway Homestate Companies (BHHC) is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers...
AmTrust: Serious Violation of CA e-Billing Law
Apr 15, 2022
AmTrust: Serious Violation of CA e-Billing Law
AmTrust North America refuses to comply with the most basic workers’ comp electronic billing mandates. In that refusal, AmTrust completely undermines the purpose of workers’ ...
AmTrust: 31,514 Audit Complaints Submitted
Apr 13, 2022
AmTrust: 31,514 Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
CA OMFS Update: Outpatient/ASC
Apr 10, 2022
CA OMFS Update: Outpatient/ASC
California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...
CA OMFS Update: Pathology & Clinical Laboratory
Apr 10, 2022
CA OMFS Update: Pathology & Clinical Laboratory
On March 30, 2022, the California Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Sched...
2022 CA OMFS Update: Physician Fee Schedule
Mar 30, 2022
2022 CA OMFS Update: Physician Fee Schedule
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 ...
2022 CA OMFS Update: DMEPOS
Mar 28, 2022
2022 CA OMFS Update: DMEPOS
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
PPO: No Provider Recourse for Unnamed Discounts
Mar 22, 2022
PPO: No Provider Recourse for Unnamed Discounts
In California workers’ comp, the appeals process for disputing improper Preferred Provider Organization (PPO) reductions has a serious flaw.Routinely, Explanations of ...
CA DWC Rigs IBR and Helps SCIF
Feb 8, 2022
CA DWC Rigs IBR and Helps SCIF
A doctor treated a California injured worker. Subsequently, in an apparent attempt to avoid paying for the treatment, the State Compensation Insurance Fund deni...
DWC Public Hearing: Copy Service Fee Schedule
Jan 29, 2022
DWC Public Hearing: Copy Service Fee Schedule
Have thoughts to share with the Division of Workers’ Compensation (DWC) regarding proposed changes to the Copy Service Fee Schedule? Mark your calendar. The DWC will hold a p...
2022 E/M Reimbursement Rates for CA Workers' Comp - Facility
Jan 7, 2022
2022 E/M Reimbursement Rates for CA Workers' Comp - Facility
California’s Division of Workers’ Compensation recently posted new reimbursement rates for Evaluation and Management (E/M) services. Below we list the new facility reimbursem...