Fact Checking

As noted in the last edition of this publication, the latest existential threat to California’s workers’ compensation system is Assembly Bill 1465 co-authored by Assembly Majority Leader Eloise Reyes (D-San … Read More »

Copy Service Fee Schedule Update In The Works

Division of Workers’ Compensation (DWC) officials say an updated copy service fee schedule is currently under review and should be out for public comment in a matter of weeks. The increase in the costs to employers for copy services will be the first since the fee schedule was adopted in 2015 as part of the … Read More »

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Recall Déjà Vu’

In 2003, proponents of the recall of Governor Gray Davis stated, as part of their justification for the recall:   “Over 296,000 good paying jobs have left California…and more are … Read More »

Provider Network, Presumption Bills Causing Concern

California Legislators added a handful of bills late in the introduction period to amend the state’s workers’ comp system.  Concerns are being raised by employers and payors. Provider-focused bills seek to amend the medical provider network (MPN) and billing rules, whilst others build on the workers’ comp presumptions for public safety officers. There are not … Read More »

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DWC Moves Controversial Med-Legal Fee Update

The Division of Workers’ Compensation is pushing through the latest draft of its proposed – and controversial – med-legal fee schedule (MLFS).  There are concerns it will increase costs more than projected and create new points of friction in the system. The flat fee proposal submitted to the Office of Administrative Law (OAL) for an … Read More »

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Providers Win $3.8M From Payers Who Didn’t Pay

Medical providers in California’s workers’ comp system filed 3,336 complaints with the state’s independent bill review (IBR) organization over the last two years alleging underpayment by workers’ comp carriers, self-insured employers, and third-party administrators. The providers prevailed in 70% of the cases.  They, collectively, were awarded over $3.8 million in illegally denied payments. Like the … Read More »

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Employers, Carriers Push Back Against Med-Legal Fee Proposal

California’s employers and insurance carriers are raising concerns that the Division of Workers’ Compensation’s proposed med-legal fee schedule (MLFS) update will increase costs more than is projected and, worse, create new friction points in the system. Employers assert the proposal does little to prevent billing abuse and that the Division’s proposal fails to ensure high-quality … Read More »

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Conoravirus Death Claims

California’s workers’ compensation system has received reports for 59,559 cases alleging a workplace injury due to COVID-19. But nearly 30%, some 17,690, tested negative and were rejected.  The filings equal 11% of all workers’ comp claims so far this year but the number is only 8% after the rejected are removed. The concentration of COVID-19 … Read More »

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