Network Discounts
Apr 17, 2023
Coventry: Fine Print Reveals MPN Mirage
Last week, we exposed the empty promise of Medical Provider Networks (MPNs), as evidenced by damning emails between a California doctor and Coventry. In one of its emails, Co...
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Apr 14, 2023
Coventry Emails Expose PPO/MPN Mirage
A series of emails between a California doctor and Coventry expose the unvarnished truth about Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs). <...
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Apr 13, 2023
How Networks & MPNs Decimated CA Physical Therapists
To grasp just how ruinous Medical Provider Networks (MPNs) can be for California providers and injured workers, look no further than the tragic situation of physical therapis...
Apr 12, 2023
Marriott - Networks Pocket Doctors' Pay
Does the Marriott hotel chain know where the money really goes when it pays for its employees’ medical treatment?Self-insured and with its own in-house claims administ...
Apr 4, 2023
What CA Doctors Must Know Before Signing a PPO Contract
Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs) are causing chaos for California employers, injured workers, and healthcare providers. Tha...
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Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering. Three separate bills from the same provider to the same insurer...
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...
Mar 8, 2022
Network CEO Exposes Triton/PCS Improper Discounts
In a revelation with severe implications for California workers’ comp, CEO Todd Breeden of America’s Choice Provider Network (ACPN) reported that Triton Healthc...
Feb 6, 2022
Homelink Introduces 2% Paper Billing Fee
Even before factoring in supplies, lost paperwork, and wasted time, the cost of sending non-electronic workers’ compensation bills is climbing. As of February 1, netwo...
Jan 31, 2022
Coventry Network: Non-Physician Providers Cost Less
Workers’ comp is in crisis. Doctors are fleeing the system, leaving employers and injured workers an increasingly smaller pool from which to seek care. For doctors, th...
Nov 17, 2021
Lien Chaos Returns: DWC Rules for Anthem (Part III)
California’s Division of Workers’ Compensation (DWC) has a duplicity problem. In the third chapter of our series on The Zenith and Anthem Blue Cross, we discover that ...
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...