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Bills Propose to Exempt Newspaper Distributors, Freelance Writers From AB 5

01/22/2020
The one-year exemption to the states new employee classification test that the California News Publishers Association won last year would become p

Category: News

Observers Caution Against Certain WCAB Rule Changes for 2020

01/08/2020
elects not to file the declaration of readiness. Lori Kammerer testifying on behalf of the Coalition of Professional Photocopiers said the procedures in the old Section 10451.1 are used to hold payers accountable for not paying bills or not paying them on time. It's the only pathway to a courtroom

Category: News

New Work Comp Legislation Taking Effect With New Year

12/31/2019
In his first year as governor of California Gavin Newsom signed multiple workers compensation bills addressing issues including first responder presumptions medical provider network practices and provider reimbursement rates. While the measure ordering the Division of Workers' Compensation

Category: News

Attorney Charged in $22M Kickback Case Sentenced to 14 Months

12/20/2019
Southern California dismissed a nine-count indictment accusing Foremost of mail fraud and conspiracy on the condition that the company does not try to collect on any outstanding bills or liens. Should defendant violate the terms of this agreement defendant waives all objections to the refiling of

Category: News

Spinal Surgeon Sentenced to 30 Months in Kickback Case

11/26/2019
purported to pay Pacific Specialty Physician Managements costs for administering day-to-day business at his Downey Orthopedic Medical Group. Terms of the agreement gave PSPM a percentage of collections on bills from Capen and other providers at Downey Ortho. But the plea agreement says the management fee

Category: News

No Payment Due to Interpreter Service That Didn't Request Review of Invoice

11/22/2019
A California appellate court ruled that an insurance carrier is off the hook for paying the bills of an interpretation service due to the providers failure to comply with procedures for payment of liens. Case Meadowbrook Insurance Co. v. WCAB DFS Interpreting No. C088882 11212019

Category: News

Contractor Sentenced to 10 Years for Fraud, Wage Theft

11/19/2019
pay their bills he stole a profitable construction contract from other legitimate contractors and their employees."

Category: News

WCAB: Med-Legal Claimant Must Prove Necessity, Even if Payer Doesn't Issue EOR

11/15/2019
were reasonable and necessary. An administrative judge in May awarded Med-Legal Photocopy 1151.07 plus penalties and interest after finding the defendant waived all objections to the unpaid portion of its bills. In its petition for reconsideration the defendant argued that it had not waived

Category: News

CWCI Highlights Legislation Relevant to Comp

10/23/2019
Although Assembly Bill 5 was one of the most talked-about bills in the California Legislature this year the California Workers' Compensation Institute has identified 19 other bills that may have workers comp relevance. The bills are listed in a CWCI bulletin issued this week. Topping the list

Category: News

PT Group Sues MedRisk Over Provider Referral Practices

10/14/2019
referrals. MedRisk bills its work comp payer clients a certain amount for the physical therapy and then pays the PT provider less pocketing the difference according to the complaint. And MedRisks clients allegedly do not get to see the companys contracts with providers or the providers bills

Category: News

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