California Workers' Comp
May 1, 2024
Orange County/Sedgwick: Preposterous MPN Telehealth Claim
What in the name of comp are the County of Orange and Third-Party Administrator (TPA) Sedgwick up to? As reported previously, Sedgwick insists Orange County will refus...
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Apr 30, 2024
Despite Orange County/Sedgwick Whims, Telehealth Is Payable
In this second look at the County of Orange’s refusal to pay for telehealth treatment, we pose a critical question: What kinds of chaos will be unleashed if Orange Cou...
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Apr 29, 2024
Orange County & Sedgwick "No Telehealth" Policy
According to Third-Party Administrator (TPA) Sedgwick, the County of Orange refuses to reimburse providers for treating injured employees via telehealth.Sedgwick claim...
Apr 19, 2024
Sedgwick: IBR Filing Fee Hall of Shame
The good news: When Independent Bill Review (IBR) overturns an improper payment denial, Sedgwick Claims Management, Inc. will restore the $180 filing fee the provider ...
Apr 16, 2024
Defense Lien Rep Tries, Fails to Challenge daisyBill Fee Schedule Calculations
At daisyNews, we don’t shy away from offering opinions on controversial aspects of workers’ comp. But some things are not controversies or matters of opinion; they’re simply ...
Apr 11, 2024
Santa Clara County Deletes Provider's Bills
The County of Santa Clara, a public self-insured employer, employed an odd tactic to resolve bills it had trouble processing: reportedly, they simply deleted the bills.
Apr 4, 2024
CA Med-Legal: $93M+ for Record Review in 2023
With attorneys dumping tens of millions of pages of medical records on California Medical-Legal evaluators annually, daisyBill physicians conducted over $93 million worth of ...
Apr 3, 2024
CA: 2024 Physician Fee Schedule 2.75% Increase Explained
Have trouble keeping up with California’s multiple fee schedule updates this year? It’s not just you. As reported earlier this week, effective for all dates of service...
Apr 2, 2024
CA UR: AmTrust & Genex Deny Care With ODG (Again)
What suffering must befall injured workers before California bothers to enforce its meager Utilization Review (UR) requirements?When considering which treatments are n...
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Apr 1, 2024
2024 CA Physician Fee Schedule Increases TODAY
California’s Division of Workers’ Compensation (DWC) issued an update increasing reimbursements for the Physician and Non-Physician Practitioner portion of the Official Medic...
Mar 29, 2024
Change Cyberattack Delays Payment of San Francisco Bills
The fallout from the cyberattack on Change Healthcare continues to reach new corners of the national healthcare system, including workers' compensation. ...
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Mar 28, 2024
WCIRB: By Insurers, For Insurers
The Workers’ Compensation Insurance Ratings Bureau (WCIRB) is one of the most influential organizations guiding the decisions of legislators, regulators, and other stakeholde...