medical-legal

CA Med-Legal: 100% Fee Schedule, Paid in 14 Days

Medical-Legal services are among the highest-priced in California workers’ comp. But too often, physician evaluators hand a significant share of their reimbursements t...

CA Provider Warning: UEBTF Payment Delays

California’s Uninsured Employers Benefits Trust Fund (UEBTF) serves an important function: to cover treatment and benefits for injured workers whose employers illegally faile...

CA: Providers Aren’t the Problem. The PR-2 Is.

In a recent post republished on WorkCompCentral, defense attorney David W. Stewart bemoans “defective” PR-2 reports from California physicians treating injured workers and th...

CA: WCRI Report Shows Medical Costs Are Not the Problem

A report on workers’ comp claims costs from the Workers’ Compensation Research Institute (WCRI) puts hard data to a trend that should alarm all California employers whose pre...

CA SIBTF Paid $725,570 in Med-Legal Costs For a Single Claim

California employers pay four times more in Medical-Legal costs for Subsequent Injuries Benefits Trust Fund (SIBTF) claims than for standard workers' comp claims. The ...

CA IBR Chicken 3.0: Sedgwick’s New Way to Contort Dispute Process

Leave it to Sedgwick Claims Management Services, Inc. to pioneer yet another way to contort Independent Bill Review (IBR), the process by which California providers enlist th...

CA Interpreters: Credential Confusion Can Harm Employers and Injured Workers

Millions of California workers speak a primary language other than English. To receive appropriate treatment and benefits in the event of an injury, those workers need to com...

CA's "Cost Control" Mechanisms May Be the Most Expensive Parts of the Claim

Employers in California pay more for workers' comp coverage than in almost every other state, and the gap is widening. In our view, thereason isn't provider or ...

CA: CBCS Fishes for 40% Discount on Med-Legal Services

Discount vendor Reliant tried to slash a California Qualified Medical Evaluator (QME)’s bill by 40% on behalf of Cottingham & Butler Claims Services, LLC (CBCS), the Third-Pa...

Where Is Your Medical-Legal Payment?

If your Medical-Legal reimbursements take months to arrive, something is wrong. That revenue belongs to you, not the entity managing your Medical-Legal evaluations and...

daisyData: 2025 Payment Speed by Bill Type

Fun fact: daisyBill’s workers’ comp billing software isn’t only for medical treatment. The over 3.5 million bills our clients submit annually include bills for:Languag...

CA Med-Legal: Do Not Review Records Without Proper Declaration & Attestation

A warning for California doctors conducting Medical-Legal evaluations: Do not review medical records where the parties failed to deliver those records in accordance with stat...