California Workers' Comp
Oct 16, 2024
Sedgwick Removes 54% UR Denial Stat From Website
We knew it was only a matter of time. The question was how much time?Third-party administrator (TPA) Sedgwick Claims Management Services screamed the quiet part out lo...
Oct 11, 2024
Over 2,500 CA MPNs Vanish (Again)
By now, we’ve grown accustomed to the California Division of Workers’ Compensation (DWC) utterly failing to manage the state’s Medical Provider Network (MPN) sy...
Oct 10, 2024
Medicare Advantage & Workers' Comp: Why Providers Reject Both
Becker’sreports that hospitals and health systems across the nation are giving up on Medicare Advantage, terminating contracts and refusing to treat patients co...
Oct 9, 2024
Payers Deny 48% of CA Physician's Bills
Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...
Oct 3, 2024
Travelers Defies IBR, Shorts CA QME
How many ways can an insurer violate workers’ comp payment laws, regulations, and rules on a single bill?Travelers may have set the benchmark by refusing to correctly ...
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Oct 2, 2024
CA CHSWC Meeting Offers Hope for Workers
California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) held a public meeting on Friday, September 27, 2024. daisyBill representatives attended,...
Oct 1, 2024
CA OMFS Update: Physician Services (Q4 2024)
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 ...
Sep 26, 2024
CA Governor Vetoes UR Bill
California Governor Gavin Newsom vetoed California Senate Bill 636, which would have required that Utilization Review (UR) for private employers be conducted only by Californ...
Sep 24, 2024
CA DWC Fails Employers and Employees
Without enforcement, no amount of laws or regulations can improve or even maintain a functioning workers’ compensation system. California is a tragic example of...
Sep 23, 2024
CA DWC Ignores Authorization, Lets Liberty Mutual Stiff Orthopedist
The Division of Workers’ Compensation (DWC), under Administrative Director George Parisotto, has allowed Liberty Mutual to deny thousands in payment owed to a California orth...
Sep 20, 2024
Liberty Mutual Feeds UR Vendors (While CA Worker Waits for Care)
In California workers’ comp, Utilization Review (UR) is the process by which claims administrators decide whether or not to authorize the care recommended by an injured worke...
Sep 19, 2024
Sedgwick Boasts 54% Denial Rate for Injured Worker Treatment
Editor’s note: As predicted below, Sedgwick removed the 54% statistic from its marketing website, shortly after the publication of this article. Who coul...