Is the MPN Simplifying Workers’ Compensation or Complicating It?

In California’s workers’ compensation system, navigating the (MPN) is crucial yet challenging.   Medical providers usually have to take the fall in these MPN personas. When an injured factory worker with a severe back injury needs care outside the MPN due to the absence of necessary specialists, instead of catering to the needs of the case, […]

Legal Basis Denial Dilemma

In worker’s compensation cases, providers often encounter obstacles in the billing and collection process. Insurance companies may decline coverage due to certain legal aspects, citing reasons such as post-term claim or statute for filing an injury. This situation can lead to patients grappling with substantial medical costs while providers have outstanding claims paid. A longtime […]

Using the RFA System to Our Client’s Benefit

In workers comp cases, the UR process can be confusing and slow, making it difficult for providers to get their dues cleared on time. Let’s delve into how we secured our client’s payment in this case through careful abidance to RFA guidelines.  A warehouse worker sustains a wrist injury while operating heavy machinery at her […]

Simplify Lien Collection for Retrospective Denial of Treatment

In worker’s compensation claims, denials, and deferrals by administrators can hinder the collections of the medical providers and lead to legal disputes. When there’s a debate about which part of the body was injured at work, the request for treatment might be denied or deferred retroactively. In such cases, if the provider undertook the treatments, […]