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Grinberg: Are We Loving the Med-Legal Fee Schedule Yet?

07/21/2022
there’s been more than a 50 increase in payments for face-to-face exams and almost 40 for supplemental reports. Three dollars per page in review as per the fee schedule has also drastically increased the cost of an initial exam by almost 2000.  According to the CWCI the fee

Category: Industry Insights

CWCI : COVID Claims Triple in May

07/08/2022
April then jumped 182 in May to 6704 claims producing a fivefold increase in COVID claim volume during the spring surge CWCI said in a bulletin. With the Division of Workers Compensation still receiving COVID-19 claims from those three months CWCI said that after controlling for late-reported

Category: News

CWCI : Med-Legal Costs Soar Following Changes

07/06/2022
schedules effective date using data from claims in accident years 2015 through 2021 CWCI found that replacing the three levels of evaluations with a single comprehensive evaluation reimbursed at a flat fee likely had the biggest impact on average payments. Basic evaluations accounted for about 40 of

Category: News

Committees Pass COVID Presumption, Fraud Investigation Bills

07/01/2022
infected by COVID. The California Chamber of Commerce argued against the bill saying data from the California Workers Compensation Institute shows employers have accepted most COVID-19 claims. CWCI reports that employers have accepted 66.3 of COVID-19 claims through May or 178752 out of 269756

Category: News

Mileage Reimbursement to Climb to 62.5 Cents

06/13/2022
Rettig on Friday announced that in light of high gas prices the rate would increase for the second half of the year. Its the first mid-year increase in the mileage rate since 2011. CWCI said it has alerted the Division of Workers Compensation of the increase and the DWC will likely post a Newsline

Category: News

CWCI Reports Changes Among Largest Carriers

06/10/2022
The California Workers Compensation Institute reported some shifting among the largest carriers in the state with AmTrust Financial Services Grou

Category: News

CWCI : NSAIDs Account for Increasing Share of Prescriptions, Spending

06/09/2022
and drug payments. CWCI said its analysis of prescription drug trends from 2012 through 2021 found that the use of non-steroidal anti-inflammatory drugs or NSAIDs surpassed opioids as the top drug group in 2016. In 2021 NSAIDS accounted for 34 of prescriptions dispensed to injured workers. A

Category: News

CWCI : IMR Volume Hit All-Time Low in 2021

03/24/2022
that much of the decline came after the Division of Workers Compensation incorporated chronic pain and opioid guidelines into the workers compensation medical treatment schedule in late 2017 and implemented a prescription drug formulary CWCI said in a statement. The formulary adopted in January

Category: News

Committee Passes Bill to Expedite Liability Decisions, Penalize Unreasonable Denials

03/23/2022
have given employers 30 days to accept presumptive claims and 45 days to accept all others could have unintended consequences. Decreasing the investigation period to 45 days would actually reduce access to medical treatment and would likely increase the number of provisional denials CWCI said

Category: News

CWCI Reports Sharp Drop in COVID-19 Claims

03/22/2022
the beginning of this year the COVID-19 claim count increased more than sixfold between November and December then doubled from 2155 cases in December to 46331 cases in January before plunging back down to 3294 cases in February CWCI said in a March 16 bulletin. Those figures will increase

Category: News

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