California Workers' Comp
CA 2022 Data: Claims Admin Days to Payment
Feb 1, 2023
CA 2022 Data: Claims Admin Days to Payment
The numbers are in! 2022 data prove once again that electronic billing slashes the time it takes for providers to get paid for treating injured workers in California (...
CA Physician Fee Schedule - 2023 Changes
Jan 31, 2023
CA Physician Fee Schedule - 2023 Changes
Yesterday, California’s Division of Workers’ Compensation (DWC) announced reimbursement updates to the Physician and Non-Physician Practitioner Services section...
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
Jan 30, 2023
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
California appears to turn a willfully blind eye to what seems like an abuse of the Independent Bill Review (IBR) system for Medical-Legal disputes.Data ...
Forbes Fluff Distorts CA Workers' Comp Realities
Jan 26, 2023
Forbes Fluff Distorts CA Workers' Comp Realities
The good folks at Forbes recently offered California doctors and injured workers a slap in the face, in the form of a political fantasy narrative thinly veiled as an objectiv...
CA e-EOR Compliance: 2022 Report Card
Jan 24, 2023
CA e-EOR Compliance: 2022 Report Card
Not everything in California workers’ comp is complicated. For example: when a provider chooses to bill electronically for medical services, California regulations req...
CA EDI Compliance: 2022 e-Billing Report Card
Jan 17, 2023
CA EDI Compliance: 2022 e-Billing Report Card
For over ten years, California has had a simple legal requirement: all claims administrators must accept electronic bills from providers for the treatment of injured workers....
Sedgwick Authorization Sewer - Why CA Needs UR Reform
Jan 11, 2023
Sedgwick Authorization Sewer - Why CA Needs UR Reform
An injury occurs at work. The injured worker sees a doctor. The doctor concludes that the worker needs a consultation from a specialist. Per California law, the treating doct...
Tristar: 16,459 Audit Complaints Filed
Jan 5, 2023
Tristar: 16,459 Audit Complaints Filed
For all its complexity, California workers’ comp has one very simple law: if a doctor chooses to send bills electronically, the claims administrator must accept that doctor’s...
DMEPOS Update Q1 2023
Jan 5, 2023
DMEPOS Update Q1 2023
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) portion of the Official Medical Fee ...
CA Physician Fee Schedule: No 2023 Changes (Yet)
Jan 5, 2023
CA Physician Fee Schedule: No 2023 Changes (Yet)
Despite controversial cuts to reimbursement rates for Medicare, California’s Division of Workers’ Compensation (DWC) has not announced changes to reimbursement ...
Tristar: 8,188 Audit Complaints Filed With CA DWC
Jan 5, 2023
Tristar: 8,188 Audit Complaints Filed With CA DWC
Using data generated by over 36,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
Sedgwick's 57,876 Audit Complaints: A Business Practice?
Dec 14, 2022
Sedgwick's 57,876 Audit Complaints: A Business Practice?
Sedgwick received our open letter, but the Third-Party Administrator (TPA) still missed the memo. Sedgwick administers claims on behalf of insurers and self-insured em...