California Workers' Comp

CA Med-Legal: Do Not Review Records Without Proper Declaration & Attestation

A warning for California doctors conducting Medical-Legal evaluations: Do not review medical records where the parties failed to deliver those records in accordance with stat...

CA: No Authorization Required for Med-Legal Diagnostic Tests

California providers: You do not need authorization to conduct diagnostic testing as part of a Medical-Legal evaluation. And yes, the claims administrator is responsib...

Billing Alert: CA State Fund Drops TPA

Attention California providers: Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is no longer handling workers’ comp claims for employees of t...

CA State Fund Profits Exposes WCIRB's Manufactured Crisis

According to the Workers’ Compensation Insurance Rating Bureau (WCIRB), California workers’ comp insurers are caught in a death spiral of underwriting losses. However,...

Can CA Employers & Taxpayers Afford Ricardo Lara?

California employers are paying more for workers’ comp coverage even though rates are decreasing nationwide, courtesy of Insurance Commissioner Ricardo Lara. However, ...

CA: Formal Request to Revoke American Zurich MPN

In October, daisyBill formally petitioned the California Division of Workers’ Compensation (CA DWC) to revoke approval for the Medical Provider Network (MPN) that American Zu...

CA DWC Ignores IBR Law, Leaves Practice Short $75K+

Independent Bill Review (IBR) is supposed to protect California providers when payers refuse to correctly reimburse for injured workers’ treatment. Yet the Cali...

CA: Sedgwick’s Rampant Second Review Violations

For providers, Sedgwick Claims Management Services, Inc.’s routine violations of state law and regulations make it increasingly difficult to treat injured workers. For...

Sedgwick Hits 298,034 Violations (and Counting)

Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...

CA DIR to Blow $1.25M On (Another) Questionable Comp Study

The California Division of Workers’ Compensation (CA DWC) is set to waste $1,250,000 in taxpayer dollars on a faulty “study” of non-existent data.The Department of Ins...

CorVel’s Commitment to Compliance: A Shining Example for Payers

CorVel, a Third-Party Administrator (TPA) managing workers’ comp claims on behalf of insurers and employers, has demonstrated how workers’ comp works better when payer...

CA DWC Fails, Vendors Thrive, Employers Pay More

Fact: In California workers’ comp, the claims administrator is legally responsible for compliance with state laws and regulations, regardless of any outside vendor or agent t...