California Workers' Comp

Select Staffing: Changes TPA and Claim Numbers

Attention California providers: Select Staffing no longer uses CorVel as its Third-Party Administrator (TPA).Effective July 1, 2019, Broadspire administers all claims ...

Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman

A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...

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*

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

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

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

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

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

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

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

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]

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...