California
Authorization
Laws, Regulations, And Rules
Blog Articles
Jul 25, 2017
Comments Open For Revised Workers’ Comp Drug Formulary
When state legislators proposed a workers’ comp drug formulary back in 2015, they knew it would take some time to work out all the kinks. But legislators may not have foresee...
May 22, 2023
RFA: The Easy Way to Manage UR Decisions
So many injuries. So many Requests for Authorization (RFAs). So many Utilization Review (UR) decisions to keep track of — and only so much time in a day.Rest easy, pro...
Jun 6, 2023
Missing UR Decisions (and Other RFA Problems) Solved
If your practice treats injured workers, you can’t get reimbursed without proof of authorization. Fortunately, California makes submitting Requests for Authorization (...
Mar 15, 2016
Football, Workers’ Comp, Traumatic Brain Injuries, and Utilization Review: WCAB Emphasizes UR Regulations
A recent court case highlights two connected battles unfolding in front of vastly different audiences. The high-profile battle takes place in headlines, on ESPN, and in the m...
Mar 22, 2016
DWC Cracking Down on Late Responses to Requests for Authorization
On February 10th, 2016, the DWC issued DIR Newsline 2016-19 reminding claims administrators that adhering to Utilization Review (UR) timelines is mandatory and that failure t...
Jun 27, 2023
DWC to Injured Workers: Beg or Pay For Your Care
A close reading of an official Division of Workers’ Compensation (DWC) document reveals something that should sincerely disgust every California employer, employee, health ca...
Webinars
Auth. & Treatment
Dec 08, 2016
Medical Provider Networks for Workers' Comp
Medical Provider Networks (MPNs) are insanely complicated, especially in California and even more so for workers' compensation. This series of webinars on MPNs is designed to get you up to speed quickly on both the basic concepts and advanced management techniques.
Auth. & Treatment
Feb 18, 2016
Requests for Authorization for Work Comp in California
This webinar covers compliant submissions and compliant processing of Requests for Authorization for workers' comp.
Auth. & Treatment
Oct 25, 2016
SB 1160 & SB 1175: Workers' Comp Reform
1,200+ workers’ comp professionals signed up to learn about the MAJOR reforms introduced by SB 1160 and SB 1175.
Auth. & Treatment
Oct 25, 2016
SB 1160 & SB 1175: Workers' Comp Reform
1,200+ workers’ comp professionals signed up to learn about the MAJOR reforms introduced by SB 1160 and SB 1175.
Auth. & Treatment
Feb 06, 2018
The New "Automatically" Authorized RFA Process
"Automatic" authorization took effect on January 1, 2018, meaning that many providers can skip the UR process for certain types of treatment. Learn what this new type of authorization means for your practice, and why it’s not as simple as you may think.
Auth. & Treatment
Sep 27, 2018
Work Comp 101: The Lowdown on Original Bills
Take a deep dive into the components of a complete, compliant original bill for health care services as required by California workers’ comp rules. Learn the responsibilities of both the provider and the payor at each step in the billing and payment process.