California Workers' Comp

CA Authorization & UR Confusion Reigns
Feb 8, 2024
CA Authorization & UR Confusion Reigns
Last week, we reported on the California Division of Workers’ Compensation (DWC)’s decision to delete an important FAQ from its website. Until the deletion, the FAQ affirmed ...
Free 2024 CA Physician Fee Schedule Webinar!
Feb 6, 2024
Free 2024 CA Physician Fee Schedule Webinar!
Update: This webinar is over — but we’ll post access to the recording and presentation slides soon!Are you billing (or paying) accurately for workers’ comp treatment? ...
2024 CA Physician Fee Schedule Changes
Feb 2, 2024
2024 CA Physician Fee Schedule Changes
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 ...
CA: Med-Legal Makes More Financial Sense Than Treatment
Jan 30, 2024
CA: Med-Legal Makes More Financial Sense Than Treatment
California physicians must come to terms with an uncomfortable fact: financially, a physician’s time is much better spent conducting Medical-Legal evaluations than actually t...
Sedgwick Is Only Getting Worse
Jan 24, 2024
Sedgwick Is Only Getting Worse
When regulators allow payers to disregard workers’ compensation laws and regulations with impunity, providers cannot help but view the system as rigged against ...
CorVel Adjuster &  Attorney Ignore CA Law (Part 1)
Jan 22, 2024
CorVel Adjuster & Attorney Ignore CA Law (Part 1)
Getting paid for treating injured workers can be highly challenging for providers. And sometimes, claims administrators and their representatives can be just plain mean. ...
CorVel Adjuster &  Attorney Ignore CA Law (Part 2)
Jan 22, 2024
CorVel Adjuster & Attorney Ignore CA Law (Part 2)
In the prior installment of this troubling story, a Corvel Senior WC Specialist became belligerent in response to a provider’s inquiry about payment for six bil...
Obituary: Palomar Urgent Care (for Injured Workers)
Jan 18, 2024
Obituary: Palomar Urgent Care (for Injured Workers)
California workers’ comp has lost yet another sizable medical practice, in another unmistakable sign of the ongoing breakdown of the system.Palomar Health Medical Grou...
CA OMFS 2024: DMEPOS Fee Schedule Update
Jan 16, 2024
CA OMFS 2024: DMEPOS Fee Schedule Update
California’s Division of Workers’ Compensation (DWC) updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule, effective for services...
CA OMFS 2024: Pathology, Clinical Lab Fee Schedule Update
Jan 15, 2024
CA OMFS 2024: Pathology, Clinical Lab Fee Schedule Update
On January 4, 2024, California’s Division of Workers’ Compensation (DWC) updated the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (OMFS), ef...
Athens Pays Interpreter More Than Physician For Evaluation
Jan 10, 2024
Athens Pays Interpreter More Than Physician For Evaluation
Once again, a claims administrator — with the help of a Preferred Provider Organization (PPO) — offers a perfect example of what makes treating injured workers financially un...
Albertsons Employee's Post-Amputation UR Nightmare
Jan 9, 2024
Albertsons Employee's Post-Amputation UR Nightmare
Two days before Christmas in 2022, an Albertsons Companies employee suffered “traumatic amputations” of three toes in a work accident. This worker lived alone on the t...