California Workers' Comp
Jul 17, 2023
Tristar Ignores CA Second Review Law
We don’t need further evidence that California workers’ comp is corrupted beyond any reasonable person’s notions of fairness, justice, or equity — but here’s Tristar Risk Man...
Jul 14, 2023
"Automatic" Authorization Fails CA Injured Workers
Today we explore how “automatic” authorization, a law passed by California in SB 1160, presents yet another absurd circular error failure for newly injured workers and their ...
Jul 13, 2023
CA Adjuster Describes Injured Workers' Nightmare Scenario
Today we recount a too-familiar story that starts with a workplace injury and ends with an injured worker in collections — all because California can’t muster the stomach to ...
Jul 12, 2023
Tristar: 3,678 Audit Complaints Filed With CA DWC
Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity. Tristar failed to send electron...
Jul 11, 2023
California DWC - Division of Wretched Compensation
Immediately after an employee reports a work-related injury, the employer’s claims administrator is allotted up to 90 days to accept or reject liability for the reported inju...
Jul 10, 2023
CA OMFS Update: Physician Services (Q3 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 ...
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Jun 28, 2023
Does DWC 1 Form Violate CA Law?
Workers’ comp is often described as a “Grand Bargain” between employers and employees. The bargain terms are simple: employees cannot sue their employers for work-related inj...
Jun 27, 2023
DWC to Injured Workers: Beg or Pay For Your Care
A close reading of an official Division of Workers’ Compensation (DWC) document reveals something that should sincerely disgust every California employer, employee, health ca...
Jun 26, 2023
e-EOR: Most Compliant Claims Admins 2023
Last week, we called out the 39 claims administrators that failed to adhere to California’s electronic Explanation of Review (e-EOR) requirement in 2023 so far. These claims ...
Jun 23, 2023
CA e-EOR (835) Compliance Report 2023
California workers’ comp has many complex rules — but one rule is pretty simple. When a provider transmits their workers’ comp bills electronically (e-bills), the claims admi...
Jun 20, 2023
Medical Director: CA Workers' Comp "Subsidizes Corruption"
Recently, the Medical Director of a large medical group sent an email to daisyBill, explaining their decision to "opt out" of treating injured workers in California. T...
Jun 15, 2023
DWC Repeatedly Violates CA IBR Law
California fails to maintain a workers’ comp environment that’s fair and navigable for providers (you know, the people who treat the injured workers). Prime example: the Divi...