California Workers' Comp
Apr 24, 2025
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
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
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
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
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...
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Apr 2, 2025
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
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
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
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...
Feb 28, 2025
$18 Million Battle: How California’s Rigged Workers’ Comp System Cheats Providers
The 2024 data are in, and they paint a grim picture for every California provider treating injured workers. The numbers prove beyond a doubt that California’s workers’...
Feb 14, 2025
CA Audit Complaint: Prime Administrators Fails to Accept e-Bills
Prime Administrators, a Third-Party Administrator (TPA), has been blatantly non-compliant with California workers' comp billing and payment requirements for the last f...
Feb 12, 2025
CA OMFS: Additional 2025 Pathology, Clinical Lab Fee Schedule Update
The California Division of Workers’ Compensation (CA DWC) issued an additional update to the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (O...