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CWCI Schedules Training Webinar on New WCAB Rules

02/14/2020
to the Rules of Practice and Procedure that CWCI said will affect nearly every aspect of workers compensation practice in the state. CWCI said the regulations were formally adopted Dec. 31 with little fanfare so many practitioners may not be aware of the new rules. The institute said its staff

Category: News

CWCI Reports 20.4% Drop in Aggregate Medical Payments From 2013-2018

02/13/2020
The California Workers Compensation Institute in a new study exploring changes in utilization and reimbursement of medical services from 2013 to 2018 reports an overall 20.4 decline in aggregate payments during that period. CWCI also reports a 28.4 decline in service counts and a 5.2

Category: News

CWCI Names Jacqueline Secia Claims and Medical Director

01/16/2020
Committees and work with staff members and others on research regulatory testimony and education. CWCI said Secia has more than four decades of experience in Californias work comp industry a majority of which was spent in claims management and training positions. She has worked for State

Category: News

Observers Caution Against Certain WCAB Rule Changes for 2020

01/08/2020
clear that a significant panel decision is not binding practitioners and judges often treat them as precedential. CWCI recommended that the WCAB eliminate the significant panel decision entirely and issue more en banc decisions. Saul Allweiss a workers' compensation defense attorney who testified

Category: News

Medical Mileage Rate Will Drop to 57.5 Cents in 2020

01/02/2020
dates regardless of the date of injury on the claim CWCI said. The California Division of Workers Compensation has downloadable mileage-expense forms on its website. A new form with the 2020 rate will be posted soon but should not be used until reimbursements are made for 2020 travel.

Category: News

Young: Always Under the Microscope

12/18/2019
costs but the full impact is not yet clear. A CWCI March 2019 study examines the distributions of prescriptions and payments by formulary category including discussion of “exempt” and “non

Category: Industry Insights

MedRisk: Physical Therapy Visits, Duration of Care on Decline

12/06/2019
Institute in October reported that between UR and IMR 94.1 of treatment requests are ultimately approved. While surgeries were approved 94 of the time the approval rate for spinal fusions was much lower at 53.9. CWCI also reported a modest increase in physical services during the first 30 days

Category: News

Attorneys Say Workers Need Alternative Treatments as Opioids Continue to Decline

12/02/2019
overdose deaths involving opioids in California a rate of 5.3 deaths per 100000 persons which is lower than the national rate of 14.6 deaths per 100000. In addition to saving money California is also bucking the national average by reducing opioid deaths. CWCI spokesperson Bob Young attributes

Category: News

Worker Advocates Critical of Suggestion to Exempt Modifications from IMR

11/25/2019
requests submitted between January and October of 2018 were either approved or approved with modifications. In the report CWCI suggests in order to cut administration burden and costs the state could exempt from independent medical review treatment modifications in which the UR physician approves

Category: News

Auditor's Proposed QME Fixes Might Not Be Enough, Observers Say

11/21/2019
2017 according to a report the California Workers Compensation Institute released last year. None of those specialties were among the 10 most commonly found in payment data CWCI reviewed. CWCI also reported there were nine QMEs certified in the internal medicine sub-specialty of gastroenterology

Category: News

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