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RFA
Apr 26, 2023
2 min read
0
Video: 30-Second RFAs for CA Workers' Comp
Let’s face facts: treating injured workers is a massive administrative pain for California providers and their staff. And that pain starts with the mandated employer authoriz...
Jan 11, 2023
4 min read
0
Sedgwick Authorization Sewer - Why CA Needs UR Reform
An injury occurs at work. The injured worker sees a doctor. The doctor concludes that the worker needs a consultation from a specialist. Per California law, the treating doct...
Sep 21, 2021
3 min read
0
Dollar Tree/Sedgwick Won’t Pay for Authorized Treatment
Authorization is, by definition, a promise.It’s the promise that, once a doctor obtains authorization from an employer to treat an injured worker, the employer will pa...
Oct 15, 2019
3 min read
0
SB 537: California RFA and Utilization Review Data
Last week Gavin Newsom, who serves as Governor of California, signed SB 537 into law, thereby adding a new section 138.8 to the Labor Code. This new §138.8 requires the Depar...
Jun 6, 2019
4 min read
0
Pro Tip: Submit RFAs During Liability Disputes
When the employer and injured worker are locked in an injury liability dispute, the provider is frequently caught in the crossfire. Often, treatment cannot wait for the long ...
Jul 26, 2018
3 min read
0
RAND Wants Less Paperwork, More Reimbursement for CA Workers’ Comp Providers
The RAND Corporation thinks California workers’ comp providers are spending too much time on redundant paperwork — and getting too little compensation in return. The s...
Jul 12, 2018
3 min read
0
RFA For Emergency Treatment in California Workers' Comp
First, let’s be clear that providers never have to wait for authorization before providing emergency treatment an acute medical condition. Never.However, the provider ...
Jun 22, 2018
4 min read
0
Conditional Authorization: How MPNs Cheat Workers’ Comp Providers
Medical Provider Networks (MPNs) are a drag on California workers’ compensation. Nominally designed to help employers control costs, MPNs rarely achieve more than throwing up...
Apr 25, 2018
3 min read
0
3 Facts About Automatic Authorization for Workers’ Compensation
Recently, a DaisyBill client reached out with questions regarding automatic authorization. The source of the confusion was a slideshow presentation from the California Coalit...
Mar 9, 2018
4 min read
0
Complete 2018 Automatic Authorization Guide for California Workers’ Comp
Over the last several months, we blogged extensively (and hosted a free comprehensive webinar) on the new automatic authorization process for California workers’ comp. Here, ...
Feb 16, 2018
3 min read
0
Authorization/Utilization Review: Why Peer-to-Peer Calls Are a Bad Idea
There’s been lots to say about authorization and utilization review (UR) this year, especially given the major changes to the process. However, one UR rule that remains the s...
Feb 9, 2018
3 min read
0
What’s New for Workers’ Comp in 2018: CA Senate Bill 1160
In 2016 California passed Senate Bill 1160, which heralded significant workers’ compensation reform. SB 1160 outlined major changes to authorization, utilization review, lien...
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