California Workers' Comp
Feb 16, 2024
CA Provider Breaks MPN Shackles (and You Can Too)
The Medical Provider Network (MPN) system is the bane of California workers’ comp — a system so convoluted, dysfunctional, and inimical to properly providing care to injured ...
Feb 14, 2024
CA Interpreters: Request IBR!
Interpreters are vital to California workers' comp. Without them, doctors could not treat injured workers with whom they don’t share a common language.But sadly, inter...
Feb 9, 2024
Will CA Clean Up Authorization/UR Issues?
When it comes to payer abuse of the authorization process in healthcare, the jig isn’t exactly up yet — but federal legislators and regulators seem to be catching on to priva...
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 ...
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? ...
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 ...
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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...
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 ...
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. ...
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...
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...
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...