California Workers' Comp
May 17, 2022
AmTrust: 8,117 Additional Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
May 16, 2022
Alert: 3,700+ e-Bills for 98 Claims Administrators Missing or Late 277 ACKs
Data Dimensions (formerly WorkCompEDI) is a clearinghouse which accepts and responds to providers’ electronic bills on claims administrators’ behalf. For nearly 100 claims ad...
May 16, 2022
Alert: 600+ False e-Bill Rejections - Counties of San Diego & Santa Clara
Providers electronically billing the County of San Diego and the Country of Santa Clara, be advised that the clearinghouse utilized by these claims administrato...
May 16, 2022
Alert: 870+ False e-Bill Rejections - Benchmark Insurance Co
Providers electronically billing Benchmark Insurance Company, be advised that the clearinghouse utilized by this claims administrator is erroneously and ...
May 16, 2022
Alert: 12 False e-Bill Rejections - Contra Costa County
Providers electronically billing Contra Costa County Risk Management (CCCRM) and Contra Costa County Schools Insurance Group (CCCSIG), be advised that the <...
May 16, 2022
How to e-Bill: Improperly Rejected e-Bills Explained
All workers’ comp practices that bill electronically must be aware of a critical issue preventing payment of e-bills: clearinghouses issuing false e-bill rejections. <...
May 10, 2022
Med-Legal: Cannon Cochran Denies Payment for Interpreter Services
Medical-Legal physician evaluators, be advised: a disturbing payment denial tactic is catching on among California claims administrators. When responding to physician ...
May 10, 2022
Free: CA Med-Legal "Superbills"
Medical-Legal billing for California workers’ comp is fraught with complications, contradictions, and — of course — threats to physician revenue from less-than-scrupulous ent...
May 10, 2022
PPO Discounts STILL NOT Applicable to Med-Legal
It’s hard to believe we still have to write this — or is it? California claims administrators may not apply Preferred Provider Organization (PPO) reductions to physici...
May 4, 2022
Alert: Conduent Faxes Doctor Scam-ish Contract
California’s Official Medical Fee Schedule (OMFS) establishes the rates at which claims administrators must pay providers who agree to treat injured workers. But rather than ...
May 3, 2022
Conduent Scam-ish Contract Misrepresents Payer
Recently, we alerted the workers’ comp community to the efforts of Conduent, acting on behalf of Third-Party Administrator (TPA) Athens Administrators, to reduce the amount o...
May 2, 2022
Conduent Repeatedly Badgers Doctor With Calls
California law establishes an Official Medical Fee Schedule (OMFS), which lists reimbursements owed to providers who agree to treat injured workers. But rather than reimbursi...