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Workers Comp Unwrapped Episode 512: AB 1293 QME Templates: How Standardized Reports Are Changing Med-Legal Billing Accuracy
Season 5 Episode 12
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A QME report gets written, submitted, and billed. Weeks later, the payment is reduced or disputed, not because the medicine was wrong…
2 days, 5 hours ago
Workers Comp Unwrapped Episode 511:Authorized but Never Paid: How Payers Are Exploiting MPN Arguments to Deny Legitimate Claims
Season 5 Episode 11
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A provider gets a treatment authorized in writing. The treatment happens. Weeks later, the payment doesn't. Instead, a denial letter …
2 days, 6 hours ago
Workers Comp Unwrapped Episode 510: SB 216 Expanded the WC Pool: How to Bill for Licensed Contractor Injuries in California
Season 5 Episode 10
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SB 216 has been rolling out in stages since 2023, and it's already put a population of licensed contractors under workers' comp cover…
1 week ago
Workers Comp Unwrapped Episode 509: SIBTF Reform Is Coming: What California Providers Treating Pre-Existing Condition Patients Must Do Now
Season 5 Episode 9
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Governor Newsom's veto of AB 1329 last October didn't kill SIBTF reform, it redirected it. Instead of a narrower legislative fix, the…
1 week ago
Workers Comp Unwrapped Episode 508: Summer Surge: Billing for Heat Injuries and Outdoor Worker Claims Under California WC in 2026
Season 5 Episode 8
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Every California summer brings the same seasonal spike — outdoor workers going down with heat exhaustion or heatstroke, and the claim…
2 weeks, 2 days ago
Workers Comp Unwrapped Episode 507: Virtual Courtrooms 2.0: What Every California Provider Must Know About WCAB Hearings on CourtCall
Season 5 Episode 7
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Since March 3, 2025, every status conference, mandatory settlement conference, priority conference, and lien conference at the WCAB h…
2 weeks, 2 days ago
Workers Comp Unwrapped Episode 506: The 10.4% Premium Push: How the WCIRB's Proposed Rate Hike Is Already Reshaping Payer Behavior
Season 5 Episode 6
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The WCIRB asked the California Department of Insurance for a 10.4% increase in advisory pure premium rates for September 1, 2026. The…
3 weeks, 2 days ago
Workers Comp Unwrapped Episode 505: Cumulative Trauma in California: What's Driving the Volume Surge and How to Build Airtight Billing
Season 5 Episode 5
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CT claims now account for more than one in four indemnity claims in California — and in 2025, they crossed into 31.6%, more than doub…
3 weeks, 2 days ago
Workers Comp Unwrapped Episode 504: Getting Paid for DME in 2026, What the New Medicare Q2 Fee Alignment Means for Your WC Billing
Season 5 Episode 4
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The DWC's April 1, 2026 DMEPOS update didn't grab headlines the way the UR overhaul did — but for any provider billing durable medica…
4 weeks, 2 days ago
Workers Comp Unwrapped Episode 503: MTUS Drug List v.14 Is Live: What Changed, What's Out, and How to Bill It Correctly in WC
Season 5 Episode 3
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Two episodes ago it was the UR and IMR overhaul. Last episode it was the 10-day IMR clock for formulary drug disputes. In this episod…
4 weeks, 2 days ago