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California Workers' Comp
May 2, 2025
3 min read
0
Diabolical Discounts: Disney & MultiPlan Take 56% Off Provider's Bill
Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extreme reimb...
May 1, 2025
3 min read
1
Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)
We have a question for California’s Division of Workers’ Compensation (CA attorney comments are always welcomed, too): What should a medical practice do in the followi...
Apr 30, 2025
4 min read
0
RAND Gets $300K for UR Study—What's the ROI?
The California Department of Industrial Relations (DIR) plans to address the state’s broken Utilization Review (UR) system—by paying frequent contract recipient RAND Corporat...
Apr 24, 2025
3 min read
1
Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)
Another fee schedule update, another Sedgwick screw-up. Like clockwork, Sedgwick Claims Management Services, Inc. ignores California's fee schedule updates, shortchang...
Apr 21, 2025
3 min read
0
CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"
Last week’s meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) made something clear: the Commission is serious about fixing what’s brok...
Apr 15, 2025
4 min read
3
An Open Letter to CHSWC re: UR Abuse (cc: Governor Newsom)
To the Members of the Commission on Health and Safety and Workers’ Compensation (CHSWC)CC: Governor Gavin NewsomRE: California’s Broken Utilization Review Syste...
Apr 10, 2025
4 min read
2
Sedgwick’s Shell Game: From Coventry to CareWorks, the Chicanery Continues
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA), appears to be throwing any available spaghetti at the wall to continue funneling e...
Apr 8, 2025
4 min read
0
CA OMFS Update: Physician Services (Q2 2025)
California’s Division of Workers’ Compensation (CA DWC) issued a second-quarter update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sch...
Apr 2, 2025
4 min read
2
Sedgwick Owes Practice Over $570K…Has Paid Just $12K
Readers may recall last year’s daisyNews report on how Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. underpaid a California orthopedic provider by...
Mar 27, 2025
4 min read
0
Sedgwick’s Abuse of Providers Should Terrify Employers
A question for California employers: If Sedgwick Claims Management Services, Inc. (Sedgwick) treats doctors as poorly as our data reveal, what is the impact on your injured e...
Mar 24, 2025
3 min read
2
CA Physical Therapist Pushes Back: Providers Not the “Bad Guys”
Recently, daisyNews pushed back against Managed Care Matters’ (absurd) accusation that providers will respond to Republican healthcare cuts by “jacking up” the prices of inju...
Mar 5, 2025
5 min read
2
CA Farce Alert: $300K to Study Nonexistent UR Data
The California Division of Industrial Relations (DIR) has outdone itself in bureaucratic absurdity—proposing to spend $300,000 on a study without any data to study. In...
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