Division of Worker’s Compensation News

178 Medical Providers Suspended from California’s Workers’ Comp System

The California Department of Industrial Relations’ Division of Workers’ Compensation and DIR’s Anti-Fraud Unit suspended 178 medical providers during the first eight months of 2022. Providers are suspended from the workers’ compensation system when they have been convicted of fraud-related …

Report: Sharp Increase in California Workers’ Comp Med-Legal Costs

Payments for medical-legal services used to resolve medical disputes over compensability issues in California work injury claims have risen sharply under the new Medical-Legal Fee Schedule that took effect last year, a new report shows. The report from the California …

Judges Dismisses $18M in Liens Filed by California Medical Provider Convicted of Fraud

An administrative law judge in California has dismissed liens valued at $18 million filed by convicted medical provider Michael E. Barri, bringing to a close one of the earliest cases aimed at combatting fraud in California’s workers’ compensation system., the …

Texas DWC: Firefighters’ Cancer-Related Workers’ Comp Claims – and Denials – an Emerging Issue

How to process cancer-related workers’ compensation claims filed by firefighters’ and emergency medical technicians’ (EMTs) is developing into an emerging issue, Texas workers’ compensation system regulators point out in a report to the Legislature about the status of the workers’ …

Texas Accepting Comments on 2019 Workers’ Comp Research Agenda

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) is accepting comment on the proposed Fiscal Year 2019 Research Agenda of the Workers’ Compensation Research and Evaluation Group (REG). Texas Labor Code §405.0026 requires the REG to publish a …

Texas Workers’ Comp Study Finds Improvement in Worker Access to Medical Care

The Texas Department of Insurance, Division of Workers’ Compensation reported in a newly released study that access to medical care for injured workers has improved slightly and that a high rate of doctors who treat workers’ comp patients has remained …

Austin Drops Workers’ Comp Lawsuit Against Firefighter with Cancer

The city of Austin, Texas, has dropped a lawsuit challenging the determination by state workers’ compensation officials and an appeals panel that a firefighter diagnosed with cancer is eligible for workers’ comp benefits. According to the Austin Firefighters Association, Lt. …

California Workers’ Comp Medical Review Volume Fell Slightly in 2017

New data on the Independent Medical Review process used to resolve California workers’ compensation medical disputes show that IMR volume dipped for the first time ever in 2017, but the outcomes were unchanged as IMR physicians again upheld 91.2 percent …

California Division of Workers’ Comp Suspends 21 Medical Providers for Fraud

The California Division of Workers’ Compensation has suspended 21 more medical providers from participating in the state’s workers’ compensation system, bringing the total number of providers suspended this year to 115. The providers were suspended for fraud or other criminal …

Texas Division of Workers’ Comp: Employees Stepped Up to Help After Hurricane

When Hurricane Harvey devastated the Houston area two months ago, Texas Department of Insurance, Division of Workers’ Compensation employees around the state responded rapidly. DWC increased staffing on the customer service line, created a resources web page, and reminded insurance …