California Workers' Comp

Comp Is a Cash Cow—But CA Insurers Want Higher Rates?
May 20, 2025
Comp Is a Cash Cow—But CA Insurers Want Higher Rates?
The Workers’ Compensation Insurance Rating Bureau (WCIRB) just voted to ask  California’s Insurance Commissioner to increase workers’ comp insurance rates by 11.2%.Tha...
Diabolical Discounts: Ralphs Pays MD $44 to Treat Injured Worker
May 16, 2025
Diabolical Discounts: Ralphs Pays MD $44 to Treat Injured Worker
Our weekly “Diabolical Discounts” features the most atrocious examples of the low reimbursements doctors receive for treating California’s injured workers.<...
Long Beach Pays CA Doctors Less Than Interpreters (and Plumbers)
May 13, 2025
Long Beach Pays CA Doctors Less Than Interpreters (and Plumbers)
Last week’s Diabolical Discounts revealed that the City of Long Beach paid a doctor just over $32 to treat an injured municipal employee. The article provoked outrage–and com...
Sedgwick Stiffs Doctors, County of LA Taxpayers Pick Up the Tab
May 12, 2025
Sedgwick Stiffs Doctors, County of LA Taxpayers Pick Up the Tab
Sedgwick Claims Management Services, Inc. has made it a business practice to defy California workers’ compensation laws, and public entities like the County of ...
Diabolical Discounts: Long Beach Pays Doctor $32 to Treat Injured Employee
May 9, 2025
Diabolical Discounts: Long Beach Pays Doctor $32 to Treat Injured Employee
Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extrem...
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
May 8, 2025
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
As daisyNews reported yesterday, Helmsman Management Services, LLC attempted to claw back payment from a California provider for plainly bogus reasons. We debunked those reas...
AmeriTrust Rejects Compliant e-Bills Over...Spacing?
May 6, 2025
AmeriTrust Rejects Compliant e-Bills Over...Spacing?
Just when we think we’ve seen it all, California claims administrators find new ways to create obstacles to payment.AmeriTrust is rejecting valid electronic bills (e-b...
Diabolical Discounts: Disney & MultiPlan Take 56% Off Provider's Bill
May 2, 2025
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...
Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)
May 1, 2025
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...
RAND Gets $300K for UR Study—What's the ROI?
Apr 30, 2025
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...
Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)
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...
CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"
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...