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Workers' Comp News, Data, and Insights

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CA Med-Legal Reporting Deadline Extension Official

Oct 6, 2021

California’s Division of Workers’ Compensation (DWC) has officially extended emergency regulations which add 15 days to the usual time frame for Medical-Legal reporting.

Coming Soon: CA Med-Legal Billing Data

Sep 30, 2021

There’s only one way to understand, navigate, and improve workers’ compensation: by the numbers.Since the introduction of the new Medical-Legal Fee Schedule (MLFS) in ...

Med-Legal Reports: Always Include Page Count Verification!

Sep 16, 2021

California’s new Medical-Legal Fee Schedule (MLFS), effective from April 2021, brought with it new rules for reporting, billing, and payment. Among those rules: when submitti...

AIG: Improper (but Logical) Med-Legal Underpayment

Aug 25, 2021

AIG improperly reduced a California Medical-Legal bill by 88%, providing a dramatic example of how California law incentivizes payers to incorrectly reimburse physicians who ...

Med-Legal Diagnostic Testing Is Reimbursable

Aug 19, 2021

FAQ: Is diagnostic testing, as part of a Medical-Legal evaluation, separately reimbursable?A: Yes, as long as the testing is necessary to complete the evaluation.

How to Win Med-Legal Payment Disputes

May 17, 2021

In light of the all-new Medical-Legal Fee Schedule (MLFS) for California workers’ comp, we debuted a new tool to help providers. Our MLFS “Report Cards” analyze...

CNA Repeatedly Ignores California Law

May 12, 2021

By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...

2021 CA Med-Legal Billing Codes Pocket Guide

Apr 8, 2021

California has a new Medical-Legal Fee Schedule (MLFS), effective April 1. To help medical-legal evaluators and their staff navigate these (drastic) changes, we created a dow...

2021 Medical-Legal Cheat Sheet for CA Workers' Comp

Apr 1, 2021

It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). The updated MLFS is effective for dates of service on or after April 1, 20...

New CA Med-Legal Fee Schedule Effective April 1

Mar 31, 2021

California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...

CA: New Med-Legal Fee Schedule Pending

Mar 30, 2021

A reimagined Medical-Legal Fee Schedule is on the way.Following the required public hearing and comment period, California’s Division of Workers’ Compensation (DWC) fi...

IBR Hall of Shame: Employers

Mar 24, 2021

Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...

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