California Workers' Comp
Apr 10, 2023
MPNs: CA Assembly Bill 1278 Guarantees Delayed Care
California Assembly Bill 1278, apparently designed to improve the disastrous Medical Provider Network (MPN) system, is nothing but a continued abdication of California...
Apr 6, 2023
Sedgwick, Please Accept a Free Gift From daisyBill
Sedgwick Claims Management Services, daisyBill is here for you.We notice that you struggle mightily with correctly calculating reimbursements under California’s...
Apr 5, 2023
Defense Attorney: "MPNs Benefit No One"
An attorney who represents workers’ comp payers felt compelled to share his viewpoint on Medical Provider Networks (MPNs) with daisyBill. His take: MPNs are useless to employ...
Apr 4, 2023
What CA Doctors Must Know Before Signing a PPO Contract
Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs) are causing chaos for California employers, injured workers, and healthcare providers. Tha...
Mar 30, 2023
CA DWC Must Stop Pretending MPNs Work
A real friend tells the truth, even when it’s uncomfortable to hear. As advocates for a better workers’ comp system, we haven’t been shy about pointing out its shortco...
Mar 29, 2023
MPNs: Why MDs Won't Treat Injured Workers
The video replay of our free webinar on Preferred Provider Organization (PPO) discounts is now available to stream! The webinar slide deck is also available to download.<...
Mar 27, 2023
CA MPN Access Requirements: Real or Mirage?
On paper, an MPN (Medical Provider Network) is simply a group of providers established by an insurer or self-insured employer; injured workers may only seek care from the pro...
Mar 24, 2023
CA OMFS Update: Physician Services (Q2 2023)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...
.gif)
Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering. Three separate bills from the same provider to the same insurer...
Mar 20, 2023
Mirage Provider Networks: Sedgwick Can't Identify MPN
At this point, Medical Provider Networks (MPNs) can feel like little more than a cruel joke, offering seemingly ephemeral benefits to providers while exacting a heavy toll in...
Mar 17, 2023
The Hartford Fails Med-Legal 101 (F-)
Workers’ comp insurer The Hartford has a few very basic things to learn about Medical-Legal evaluations in California. Namely, that initial evaluations generally prece...
Mar 15, 2023
CPT 99358 & 99359: How to Appeal Payment Denials
In workers’ comp billing, some procedure codes are trickier than others.Two of the best examples are CPT codes 99358 and 99359, used by providers to report prolonged n...