Check out our blog about Updated Pharmaceutical Fee Schedule Effective July 1, 2025, Adopted by CA DWC

Updated Pharmaceutical Fee Schedule Effective July 1, 2025, Adopted by CA DWC

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January 6, 2025 – The Division of Workers’ Compensation (DWC) has revised the Official Medical Fee Schedule provisions to govern the maximum reasonable fee for pharmaceuticals dispensed to injured workers starting July 1, 2025. These updated regulations align the fee schedule with changes in the Medi-Cal methodology and additional Labor Code provisions that regulate physician-dispensed […]

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Veto of Senate Bill 1299: A Setback for Farmworker Protections in California’s Workers’ Compensation System

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January 4, 2025 – Farmworker Protections: Governor Gavin Newsom recently vetoed Senate Bill 1299 at the end of September, sparking widespread concern, particularly among advocates for stronger protections for farmworkers against the escalating dangers of extreme heat. Democratic Senator Dave Cortese authored the bill. It was supported by the California Applicants’ Attorneys Association (CAAA) to

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Check out our blog about DWC Posts Reminder for Submission of Annual Report of Inventory for Claims Reported During Calendar Year 2024

DWC Posts Reminder for Submission of Annual Report of Inventory for Claims Reported During Calendar Year 2024

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January 3, 2025 – Claims administrators must ensure timely submission of the Annual Report of Inventory (ARI) in early 2025, covering claims reported during the calendar year 2024. This reminder emphasizes the importance of adhering to regulations to avoid penalties and ensure compliance. Regulatory Requirements for Annual Report Submission Under Title 8, Section 10104 of

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Check out our blog about Southern California Medical Clinics Settle $10M Fraud Allegations Involving Kickbacks and Self-Referrals

Southern California Medical Clinics Settle $10M Fraud Allegations Involving Kickbacks and Self-Referrals

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Clinics and Laboratories in Southern California Settle Allegations of Fraud December 29, 2024 – WASHINGTON – Southern California healthcare providers, including Dr. Mohammad Rasekhi, Sheila Busheri, Southern California Medical Center (SCMC), and Universal Diagnostic Laboratories (UDL), have agreed to pay $10 million to resolve serious allegations. The claims involved submitting false Medicare and Medi-Cal bills

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Check out our blog about Southern California Clinics and Owners Settle $15 Million Fraud Allegations

Southern California Clinics and Owners Settle $15 Million Fraud Allegations

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Allegations of Fraud and Illegal Kickbacks December 28, 2024 – A former Van Nuys physician, a medical center he founded, a laboratory he co-owned, and an executive at these entities have agreed to pay $15 million to resolve allegations of submitting false claims to Medicare and Medi-Cal. The claims stem from illegal kickbacks and self-referrals,

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Check our blog about DWC Alerts Employers and Health Care Professionals to Monitor Work-Related Bird Flu Cases in California

DWC Alerts Employers and Health Care Professionals to Monitor Work-Related Bird Flu Cases in California

• Health, News

Overview of Bird Flu Cases in the Workplace December 27, 2024 – The Division of Workers’ Compensation (DWC) is urging California’s workers’ compensation community to remain vigilant for occupational cases of bird flu. Recent cases have been detected among dairy farmworkers in California, while similar outbreaks have been reported in commercial poultry workers across other

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California Health Care Legislative Update: Winter 2024

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December 27, 2024 – California Health Care Legislative Update: Governor Gavin Newsom signed more than 1,300 bills and vetoed nearly 190 during 2024. As in prior years, California’s legislative actions have introduced significant changes to the health care sector. These reforms—ranging from regulations on artificial intelligence (AI) to health plans and providers—demand proactive efforts to

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Check out our blog about CA Standards Board Votes to Adopt Permanent Standard on Silica Hazards

CA Standards Board Votes to Adopt Permanent Standard on Silica Hazards

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December 20, 2024 – The California Occupational Safety and Health Standards Board has unanimously voted to adopt a permanent standard on silica hazards, prioritizing worker safety in industries prone to silica exposure, particularly those working with artificial stone. Protecting Workers from Silica Hazards This decision underscores the urgent need to safeguard workers who fabricate countertops

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Check out our post about CA Commissioner Lara Announces Reappointments to CIGA Board of Governors

CA Commissioner Lara Announces Reappointments to CIGA Board of Governors

• News, Updates

December 20, 2024 – Insurance Commissioner Ricardo Lara has reappointed several key members to the California Insurance Guarantee Association (CIGA) Board of Governors, further emphasizing the California Department of Insurance’s commitment to protecting consumers. Key Reappointments to Strengthen CIGA Leadership To enhance leadership, Commissioner Lara announced the reappointments of Richard de la Mora, Jennifer Schnittjer,

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Workers’ Compensation Claims in the Presence of Comorbidities

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December 19, 2024 – According to the CDC, 11.6% of Americans have diabetes mellitus, nearly half have hypertension, and 42% are obese. These and many other conditions often co-occur as comorbidities, complicating the health landscape of America’s workforce. The presence of comorbidities not only heightens the risk of workplace injuries but also delays recovery and

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