MPN

AmTrust: False MPN Payment Denial
Nov 2, 2022
AmTrust: False MPN Payment Denial
AmTrust North America, a Third-Party Administrator (TPA), offered a perfect example of what makes the Medical Provider Network (MPN) system so challenging for California work...
CA MPN List Updates Q4 2022
Oct 13, 2022
CA MPN List Updates Q4 2022
The California Division of Workers’ Comp (DWC) updated its list of Medical Provider Networks (MPNs). The DWC update:Added 2 new MPNsApproved 3 previously suspen...
CA DWC Updates MPN List
Jul 27, 2022
CA DWC Updates MPN List
The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs). The DWC added five new MPNs to the list, and cha...
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
Jun 8, 2022
CA OMFS: E/M Reimbursement vs Medicare Reimbursement
California workers’ comp allows discount networks to bleed the doctors who treat injured workers. Unfortunately for these workers and their employers, many of these financial...
Claims Admin Directory: FREE MPN Info Added!
Apr 26, 2022
Claims Admin Directory: FREE MPN Info Added!
In California workers’ comp, the Medical Provider Network (MPN) system is confusing and convoluted — largely by design. It is nearly impossible for doctors to locate i...
CA MPNs: 10 Facts About Monetized Provider Networks
Apr 26, 2022
CA MPNs: 10 Facts About Monetized Provider Networks
It is crucial for doctors to understand both how California Medical Provider Networks (MPNs) operate to restrict doctors from treating injured workers and how some “entities”...
PPOs Force Doctors to "Pay-to-Play"
Mar 14, 2022
PPOs Force Doctors to "Pay-to-Play"
Whether in business, politics, or sports, forcing professionals to pay for the privilege of simply doing their jobs (aka “pay-to-play”) is indefensible. But arguably, ...
10 Ways to Fix CA Workers' Comp
Nov 30, 2021
10 Ways to Fix CA Workers' Comp
Today, the California Division of Workers’ Compensation (DWC) will host a virtual public meeting “to hear ideas to improve the efficiency and quality of care provided to inju...
Zenith Boots Doctor From MPN per Anthem PPO (Part II)
Nov 16, 2021
Zenith Boots Doctor From MPN per Anthem PPO (Part II)
Our tale of one doctor’s struggle with the Anthem Blue Cross Preferred Provider Organization (PPO) took a disturbing — if predictable — turn.Despite a doctor’s request...
The Hartford Ignores TWO California Laws
Nov 11, 2021
The Hartford Ignores TWO California Laws
By insisting The Hartford owed no payment for authorized treatment provided outside the Medical Provider Network (MPN), The Hartford pooh-poohed a clear-cut Cal...
Zurich - An Example of California's MPN Shell Game
Jun 21, 2021
Zurich - An Example of California's MPN Shell Game
Where opacity and obfuscation reign, injustice thrives. There may be no better example of this than California’s Medical Provider Network (MPN) system. T...
MPNs: The Jekyll and Hyde of Workers' Comp
May 20, 2021
MPNs: The Jekyll and Hyde of Workers' Comp
We’ve argued that MPNs are mostly a drag on the workers’ compensation system. But as some employers demonstrate, they don’t have to be.When employers use MPNs to maint...