OMFS

CA Fee Schedule 2026: Pathology & Clinical Lab Update

California’s Division of Workers’ Compensation (CA DWC) updated the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (OMFS), effective for servi...

CA Fee Schedule 2026: DMEPOS Update

The California Division of Workers’ Compensation (CA DWC) has updated the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.All cha...

CA Fee Schedule Update: Physician Services (Q4 2025)

California’s Division of Workers’ Compensation (CA DWC) issued an update to the Physician and Non-Physician Practitioner portion of the state fee schedule for workers’ compen...

CA Providers Among Lowest Paid as Employers Pay Increasing Premiums

California’s Insurance Commissioner, Ricardo Lara, recently increased the advisory pure premium rate by 8.7%, to $1.52 per $100 of payroll for workers’ compensation policies ...

CA OMFS Update: Physician Services (Q3 2025)

California’s Division of Workers’ Compensation (CA DWC) issued a third-quarter update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sche...

Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)

As daisyNews reported yesterday, Helmsman Management Services, LLC attempted to claw back payment from a California provider for plainly bogus reasons. We debunked those reas...

Diabolical Discounts: Disney & MultiPlan Take 56% Off Provider's Bill

Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extreme reimb...

What Employers Choose When They Choose Sedgwick

When California employers select Sedgwick Claims Management Services, Inc. to manage their workers’ compensation claims, they choose a Third-Party Administrator (TPA) ...

Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)

Another fee schedule update, another Sedgwick screw-up. Like clockwork, Sedgwick Claims Management Services, Inc. ignores California's fee schedule updates, shortchang...

Enlyte’s MPI: A Smokescreen to Protect Private Equity Profits

Last week, Enlyte—the parent company of Coventry, Mitchell, and Genex, all backed by private equity firm Stone Point Capital—released its latest report on its “Medical Price ...

CA OMFS Update: Physician Services (Q2 2025)

California’s Division of Workers’ Compensation (CA DWC) issued a second-quarter update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sch...

CA Physical Therapist Pushes Back: Providers Not the “Bad Guys”

Recently, daisyNews pushed back against Managed Care Matters’ (absurd) accusation that providers will respond to Republican healthcare cuts by “jacking up” the prices of inju...