PPO

Defense Attorney: "MPNs Benefit No One"

An attorney who represents workers’ comp payers felt compelled to share his viewpoint on Medical Provider Networks (MPNs) with daisyBill. His take: MPNs are useless to employ...

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...

MPNs: Why MDs Won't Treat Injured Workers

The video replay of our free webinar on Preferred Provider Organization (PPO) discounts is now available to stream! The webinar slide deck is also available to download.<...

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...

Mirage Provider Networks: Sedgwick Can't Identify MPN

At this point, Medical Provider Networks (MPNs) can feel like little more than a cruel joke, offering seemingly ephemeral benefits to providers while exacting a heavy toll in...

Your PPO Questions (So Far)

It’s almost time — we’re gearing up for our free live webinar on the financial danger Preferred Provider Organizations (PPOs) pose for practices that treat inju...

Data: SCIF Pays Medicare Rates for E/M Services

Like The Zenith, California’s State Compensation Insurance Fund (SCIF) consistently pays Medicare rates to doctors for treating injured workers.According to data from ...

Data: Zenith Pays Medicare Rates for E/M Services

According to data from over 10,000 e-bills submitted for 2022 dates of service via daisyBill, insurer The Zenith paid 76% of the reimbursement rates established by California...

Anthem PPO Contract Renders OMFS Meaningless

At first glance, recent updates to California’s Official Medical Fee Schedule (OMFS) for workers’ comp may seem like a raise for doctors. By establishing OMFS rates at roughl...

CA Physician Fee Schedule - 2023 Changes

Yesterday, California’s Division of Workers’ Compensation (DWC) announced reimbursement updates to the Physician and Non-Physician Practitioner Services section...

CA Providers Unite! Suggestions for the DWC

On December 6, 2022, California’s Division of Workers’ Compensation (DWC) invites stakeholders to a public meeting to share “ideas to improve the State’s worker...

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...