Five Claims Shops Failed DWC Audit In 2020

The Division of Workers’ Compensation’s Audit and Enforcement unit’s review of 36 claims adjusting locations last year found one in ten injured workers shortchanged on their workers’ comp benefits. The auditors reviewed 2,822 claims and found that 284 injured workers were owed nearly $333,000 in unpaid workers’ comp indemnity benefits. The results are detailed in … Read More »

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Gov. Newsom Vetoes One, Signs Three Others

California Gov. Gavin Newsom recently vetoed the most prominent workers’ comp bill sent to his desk this year and still has several days to act on legislation that passed this year. Following in the steps of his predecessor, Newsom rejected a bill addressing issues of potential discrimination in apportionment decisions. Newsom’s veto message for SB … Read More »

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IMR Usage Down 20% From Historical Norms

California’s independent medical review program is driving down much of the medical expense in the workers’ compensation system. But since its inception, usage has been far higher than expected. The number of IMRs – is still higher than the drafters of the Baker Workers’ Comp Reform – SB 863 expected, but full-year data for 2020 … Read More »

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Copy Service Fee Schedule Still in Play

The Division of Workers’ Compensation is reviewing pages of comments and over an hour of public testimony that offered both support and criticism of its proposal to update California’s copy service fee schedule. The proposal would increase the flat-fee payments by $45 or 25% and institute a new meet and confer process intended to cut … Read More »

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Forum Conveniens

To the casual observer, it may seem like a contradiction. The Workers’ Compensation Appeals Board (WCAB) gave notice that it was going to amend its Rules of Practice and Procedure, … Read More »

Med-Legal Costs Jump

The California Workers’ Compensation Institute (CWCI) is warning that costs for med-legal services are up by 67%. It happened when the Division of Workers’ Compensation (DWC) rolled out a new med-legal fee schedule earlier this year. The Division called the new schedule a 25% pay raise for the state’s qualified medical evaluators. But the initial … Read More »

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Trial Starting In MRI Provider’s Kickback Case

Federal prosecutors were scheduled to start making their case yesterday that Sam Sarkis Solakyan engaged in a major kickback scheme to direct referrals of workers’ comp claimants to his chain of magnetic resonance imaging (MRI) centers in exchange for cash payments. The scheme is alleged to have racked up $284 million in charges related to … Read More »

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