California Workers' Comp

SCIF Inept UR #3: IMR Offers No Hope for Injured Worker
Sep 13, 2023
SCIF Inept UR #3: IMR Offers No Hope for Injured Worker
In California workers’ comp, the insurer has the final say over an injured worker's medical care.So what if the insurer gets it wrong? What if the insurer denies appro...
SCIF Inept UR #2: Bungled Medical Records Strikes Again
Sep 12, 2023
SCIF Inept UR #2: Bungled Medical Records Strikes Again
Once again, the consequences of inept Utilization Review (UR) fall on an injured worker.EK Health, conducting UR on behalf of State Compensation I...
UR: An Open Letter to CA Residents
Sep 11, 2023
UR: An Open Letter to CA Residents
Dear California Readers,One of your neighbors experienced a significant head injury while repairing California highways. This individual has diminished cognitive abili...
daisyBill Account Analytics: EOR Count & Source Report
Sep 7, 2023
daisyBill Account Analytics: EOR Count & Source Report
If no one is tracking your workers’ comp bills, you’re probably missing something critically important to your practice’s revenue.The sad fact is, between impro...
SCIF: Inept Utilization Review Delays Care for Injured Worker
Sep 6, 2023
SCIF: Inept Utilization Review Delays Care for Injured Worker
We write often about the systemic issues surrounding Utilization Review (UR) in California and the constant struggle of providers to obtain authorization to tre...
Sedgwick Roundup: TPA Remains Non-Compliant
Aug 25, 2023
Sedgwick Roundup: TPA Remains Non-Compliant
We write a lot here and elsewhere about California’s failure to adequately enforce workers’ comp payment laws and regulations. This failure has created an environment that’s ...
Account Analytics: Average Days to Payment
Aug 23, 2023
Account Analytics: Average Days to Payment
If no one tracks payment analytics for your workers’ comp bills, you’re probably missing critical information about your practice’s revenue from treating injured workers....
Provider UR Data Belies Rosy Insurer Claims
Aug 22, 2023
Provider UR Data Belies Rosy Insurer Claims
At a recent California Division of Workers’ Compensation (DWC) meeting, a representative from the California Workers’ Compensation Institute (CWCI) — an insurers’ organizatio...
RFA: UR Decision Data 2023
Aug 15, 2023
RFA: UR Decision Data 2023
On Friday, a California Workers’ Compensation Institute (CWCI) representative reportedly cited a 95% approval rate for medical treatments requested by California providers. T...
Workers' Comp Providers Critical to First Responders
Aug 14, 2023
Workers' Comp Providers Critical to First Responders
Consumed as we are by the minutiae of fee schedules, technical requirements, compliance, and everything else it takes to make workers’ comp e-billing work, even daisyBill can...
How to Stop Credit Card Fees for Workers' Comp Treatment
Aug 9, 2023
How to Stop Credit Card Fees for Workers' Comp Treatment
We’ve said it many times before, and we’ll keep saying it: providers should never accept credit cards as payment for the treatment of injured workers.Why not? Because ...
TRPN: How to Fight the Network's Discounts
Aug 8, 2023
TRPN: How to Fight the Network's Discounts
We’ve warned providers about the disturbing practices of Three Rivers Provider Network (TRPN).* We’ve also written about how providers may be able to demand that TRPN termina...