California Workers' Comp

Berkshire Hathaway Fails to Process Second Review Appeals
Aug 1, 2019
Berkshire Hathaway Fails to Process Second Review Appeals
Berkshire Hathaway Homestate Companies (BHHC) is failing to process electronic second review appeals, leaving providers in an unacceptable payment limbo. The insurer incorrec...
Costco, Home Depot, & Other Employers Should Be Mad as HEL*
Jul 29, 2019
Costco, Home Depot, & Other Employers Should Be Mad as HEL*
Recently a provider shared a letter, apparently meant to intimidate, that it received from a Liberty Mutual Network Specialist, Peter Spalding. The letter threatened to kick ...
Mitchell Unresolved EOR Mess
Jul 17, 2019
Mitchell Unresolved EOR Mess
A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...
TPA Alert: LA County Switches Claims Administrators
Jul 11, 2019
TPA Alert: LA County Switches Claims Administrators
Effective July 1, 2019, the County of Los Angeles is no longer utilizing third-party claims administrator (TPA) TriStar Risk Management. Claims are transferred to eith...
CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/2019
Jul 10, 2019
CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/2019
In Newsline No.: 2019-53, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...
CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019
Jul 9, 2019
CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019
On July 8, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule ...
Magna Carta - Bills Not Processed
Jul 8, 2019
Magna Carta - Bills Not Processed
Providers, be aware that Magna Carta Companies (formerly PSM) ended its relationship with its bill review service, CorVel. More importantly, Magna Carta is not responding to ...
Claims Admins Deny Second Review Appeals as Duplicate Bills
Jul 2, 2019
Claims Admins Deny Second Review Appeals as Duplicate Bills
Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...
CA Physician MUE Reimbursement Change as of 7/1/2019
Jun 25, 2019
CA Physician MUE Reimbursement Change as of 7/1/2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician Practit...
Download Our CA Injured Worker Intake Form [New and Updated]
Jun 20, 2019
Download Our CA Injured Worker Intake Form [New and Updated]
Easy workers’ comp billing starts with a thorough intake process.California’s Division of Workers’ Compensation (DWC) has strict billing and payment guidelines. For pr...
CA Physician Reimbursements INCREASE as of 7/1/2019
Jun 19, 2019
CA Physician Reimbursements INCREASE as of 7/1/2019
In Newsline No.: 2019-46, the California Division of Workers’ Comp (DWC) announced changes to the Official Medical Fee Schedule for Physician Services / Non-Physician ...
CA Payors Put the Squeeze on Providers (Again)
Jun 13, 2019
CA Payors Put the Squeeze on Providers (Again)
In California, box 1a of the CMS 1500 billing form is for the injured worker’s Social Security Number (SSN). When the claims administrator insists the provider populate box 1...