California DWC
Aug 11, 2022
Warning: ESIS (Still) Ignoring CA Medical-Legal Bills
How else can we put this? Sometimes ESIS, a Third-Party Administrator (TPA), just flat-out ignores bills for Medical-Legal services. Below, daisyBill documents how ESI...
Aug 4, 2022
Tristar: 8,271 Audit Complaints Filed With CA DWC
Using data generated by over 23,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
Jul 27, 2022
CA DWC Updates MPN List
The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs). The DWC added five new MPNs to the list, and cha...
Jul 20, 2022
AmTrust Changes Clearinghouse, (Finally) Gets Compliant
Following years of abject failure, insurer AmTrust appears to be getting its act together to honor California workers’ comp payment requirements — but only after daisy...
Jul 20, 2022
CCMSI: 7,319 Audit Complaints Filed With CA DWC
Using data generated by over 13,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
Jul 20, 2022
Marriott: 2,274 Audit Complaints Filed With CA DWC
Using data generated by over 2,400 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulatio...
Jul 20, 2022
American Claims Management: 2,428 Audit Complaints Filed With CA DWC
Using data generated by over 2,800 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulatio...
Jun 30, 2022
2022 Q3 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 ...
Jun 30, 2022
DWC Adopts New Telehealth Code List
On June 17, 2022, the Centers for Medicare and Medicaid Services (CMS) released revisions to the list of Medicare Physician Fee Schedule Telehealth Codes, adding six n...
Jun 30, 2022
DWC Posts 2022 Q3 DMEPOS Adjustment
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
Jun 28, 2022
Sedgwick Asserts CA "Loosened" Appeal Process
California workers' comp is — supposedly — governed by laws, enacted by the state legislature, and carried out by the Division of Workers’ Compensation (DWC). For disputes ov...
Jun 28, 2022
Data: Sedgwick Fails to Process 16,261 Second Review Appeals
Third-Party Administrator (TPA) Sedgwick Claims Management Services consistently ignores California workers’ comp requirements for properly responding to Second Review appeal...