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PODCAST

Workers’ Comp Unwrapped

Medical Lien Management

Workers" Comp Unwrapped with Anique is your go-to podcast for uncovering the complexities of the workers" compensation system. Join Anique, an experienced industry professional, as he breaks down the latest trends, tips, and case studies in workers" comp, making it easier for business owners, HR professionals, and employees to navigate. From understanding your rights to exploring key legal developments, Anique unwraps the essential information you need to know, all in an engaging and straightforward

health & fitness medicine

All Episodes

13:57

Workers’ Comp Unwrapped 211: RFAs Demystified- Filing...

Workers’ Comp Unwrapped ·

2025/02/12

Send us a textStruggling with denied RFAs or delays in treatment approvals? This episode is for you.In Workers Comp Unwrapped, we tackle the art and science of filing successful Requests for Authorization (RFAs) in the workers’ compensation system.Here’s what you’ll learn:The essential components of an effective RFA.How to align RFAs with California’s MTUS guidelines to improve approval rates.The most common mistakes that lead to RFA denials—and how to prevent them.Best practices for streamlining

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14:42

Workers’ Comp Unwrapped 210: The Defense Attorney’s...

Workers’ Comp Unwrapped ·

2025/02/07

Send us a textDefense attorneys are a vital part of the workers’ compensation system, representing employers and insurers in contested claims. In this episode of Workers Comp Unwrapped, we examine their role in protecting their clients’ interests, from challenging treatment requests to managing claim costs.Here’s what you’ll learn:The responsibilities and strategies of defense attorneys in workers’ compensation cases.How they influence treatment approvals and provider reimbursements.Common

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12:31

Workers’ Comp Unwrapped 209: The Applicant Attorney’s...

Workers’ Comp Unwrapped ·

2025/02/05

Send us a text#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaimsWhen workers’ compensation claims are denied or disputed, applicant attorneys play a critical role in advocating for injured workers and securing their benefits. In this episode of Workers Comp

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30:02

Workers’ Comp Unwrapped 208: Injured Worker...

Workers’ Comp Unwrapped ·

2025/01/31

Send us a text#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaimsDid you know that injured workers have specific responsibilities in the workers’ compensation process that directly impact their claims? In this episode of Workers Comp Unwrapped, we dive into what is

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14:14

Workers' Comp Unwrapped 207: Filing a Claim in...

Workers’ Comp Unwrapped ·

2025/01/29

Send us a text#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaims Filing a workersâ comp claim isnât just a paperwork exercise for employersâitâs a critical process with strict timelines and significant legal requirements. In this episode of Workers Comp

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17:09

Workers Comp Unwrapped 206 - How to Handle Lien...

Workers’ Comp Unwrapped ·

2025/01/24

Send us a text#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaimsAbout Episode:Lien withdrawals are an inevitable part of workers’ compensation billing, but they’re often misunderstood and mishandled. In this episode of Workers Comp Unwrapped, we break down

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19:22

Workers' Comp Unwrapped 205: Inconsistent Reports...

Workers’ Comp Unwrapped ·

2025/01/22

Send us a textAre your third-party billing reports creating more problems than solutions? In this episode of Workers Comp Unwrapped, we dive deep into the challenges of inconsistent billing reports and how they impact your revenue cycle. From missing data to delayed updates, we explore the common pitfalls that lead to denied claims, compliance risks, and financial losses.Tune in to learn:How to identify and address inconsistencies in billing reports.The most effective strategies for auditing,

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24:03

Workers' Comp Unwrapped 204; Relationship Between...

Workers’ Comp Unwrapped ·

2025/01/17

Send us a textIn this episode, we explore the often-overlooked but vital relationship between insurance representatives and collections representatives in California workers’ compensation. These two roles frequently find themselves at odds with competing goals that can lead to delays, disputes, and inefficiencies.We discuss the challenges these teams face, such as communication barriers, mistrust, and regulatory complexities, and why strengthening their collaboration is essential for faster claim

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28:27

Workers' Comp Unwrapped 203; Interpretation Charges...

Workers’ Comp Unwrapped ·

2025/01/15

Send us a textStruggling with denial after denial? You’re not alone! In this episode of Workers Comp Unwrapped, we tackle Inappropriate Reasoning in Appeals, breaking down how medical providers in California can successfully overturn workers’ comp claim denials.From understanding common denial tactics to crafting compelling appeals, we provide a roadmap for tackling everything from documentation issues to fee schedule disputes. Plus, hear real-world examples and a case study that showcase how

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13:51

Workers’ Comp Unwrapped 202; Follow-Up Headaches...

Workers’ Comp Unwrapped ·

2025/01/13

Send us a textWhere do doctors usually struggle with their follow-up strategies? How does it affect the delay of payments?In this episode, we tackle one of the most challenging aspects of managing workers’ compensation claims: accounts receivable (A/R) follow-ups. Many medical providers struggle with delayed payments due to inefficient processes, lack of prioritization, and communication breakdowns.We explore the most common A/R pain points, such as outdated technology, insufficient staffing, and

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20:34

Workers’ Comp Unwrapped 201 - How medical providers...

Workers’ Comp Unwrapped ·

2025/01/08

Send us a textStruggling with denial after denial? You’re not alone! In this episode of Workers Comp Unwrapped, we tackle Inappropriate Reasoning in Appeals, breaking down how medical providers in California can successfully overturn workers’ comp claim denials.From understanding common denial tactics to crafting compelling appeals, we provide a roadmap for tackling everything from documentation issues to fee schedule disputes. Plus, hear real-world examples and a case study that showcase how

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23:56

Workers’ Comp Unwrapped 115 - The Clock Is Ticking:...

Workers’ Comp Unwrapped ·

2024/12/30

Send us a textMissed deadlines for Second Bill Reviews (SBRs) are a silent revenue killer for healthcare providers. In the fast-paced world of workers’ compensation billing, submitting SBRs on time is non-negotiable—but many providers overlook this crucial step, leading to delayed payments, denied claims, and significant revenue loss.In this episode, we dive deep into:✅ What Second Bill Reviews (SBRs) are and why they matter.✅ The consequences of missing SBR deadlines, including real-world case

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15:47

Workers Comp Unwrapped 114: Decoding Medical Billing...

Workers’ Comp Unwrapped ·

2024/12/24

Send us a textBilling denials and objections can feel like a constant battle for medical providers, especially in the intricate world of workers’ compensation claims. From duplicate claims to coding errors, these roadblocks disrupt revenue cycles, create administrative burdens, and even impact patient satisfaction. But what causes these denials, and more importantly, how can you address them?In this episode, we break down:✅ The most common billing objections, including medical necessity denials,

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14:40

Workers' Comp Unwrapped 113: Filing a Declaration of...

Workers’ Comp Unwrapped ·

2024/12/20

Send us a textThis episode provides a comprehensive guide to filing a Declaration of Readiness to Proceed (DOR) in California’s workers' compensation system. We dive into the essential prerequisites for filing, including completing discovery and documenting good faith efforts to resolve disputes. A detailed, step-by-step walkthrough of the DOR form ensures you know exactly how to submit a complete and accurate application.We also explore common challenges, such as objections and incomplete

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15:00

Workers Comp Unwrapped 112: Mastering the Declaration...

Workers’ Comp Unwrapped ·

2024/12/18

Send us a textEpisode Description:Filing a Declaration of Readiness to Proceed (DOR) is a critical step in California's workers' compensation process, signaling that all parties are ready to move forward with a hearing. But how do you ensure your DOR meets all the regulatory requirements and avoids unnecessary delays?In this episode, we dive deep into the prerequisites for filing a DOR, including completing discovery, making good faith efforts to resolve disputes, and adhering to

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18:00

Workers' Comp Unwrapped 111: Holiday Injuries and...

Workers’ Comp Unwrapped ·

2024/12/13

Send us a textThe holidays aren’t just about decking the halls—they’re also a peak season for workers’ comp claims. In this festive episode, Max and Ayesha bring you The 12 Claims of Christmas, a fun and insightful look at some of the most common injuries medical providers encounter this time of year.Here’s what we cover:🎄 Frostbite risks for outdoor workers🎄 Roof falls while hanging lights 🎄 Holiday decorating accidents with glass ornaments🎄 Sledding mishaps at employer-sponsored events 🎄

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7:21

Workers Comp Unwrapped 110: Streamlining Claims with...

Workers’ Comp Unwrapped ·

2024/12/11

Send us a text"Streamlining Claims with UAN: A Fun and Informative Guide to Registration and Billing Optimization"The Universal Account Number (UAN) might not sound glamorous, but it’s a game-changer for medical providers managing workers’ compensation claims in California. In this episode, [Host Name] and [Co-Host Name] walk you through:🎯 What the UAN is and why it’s essential for lien filing in EAMS.🎯 A step-by-step guide to registering for a UAN with the DIR.🎯 Practical tips for

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16:38

Workers' Comp Unwrapped 109 - The Time Crunch of Lien...

Workers’ Comp Unwrapped ·

2024/12/06

Send us a textIn the fast-paced world of workers’ compensation, deadlines are everything—especially when it comes to lien filings. In this episode of [Podcast Name], we explore why timely filings are critical for ensuring payment, maintaining legal compliance, and safeguarding your financial health.From understanding key deadlines to navigating industry trends and legal precedents, we leave no stone unturned. Plus, we’ll share practical strategies, must-have tools, and a real-world case study that

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15:56

Workers Comp Unwrapped Episode 8 - Lien Documentation...

Workers’ Comp Unwrapped ·

2024/12/04

Send us a textIn "Lien Documentation Mastery: Ensuring Compliance and Payment," we delve deep into the essential documentation required for filing medical liens effectively. This episode explores the intricacies of the documentation process, providing a detailed checklist and expert advice to ensure that healthcare providers can secure their financial rights without legal pitfalls. Tune in to learn how to master the documentation process for healthcare liens and ensure timely and full

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20:20

Workers' Comp Unwrapped 107 : How Clearinghouses and...

Workers’ Comp Unwrapped ·

2024/11/27

Send us a textIn this episode, we explore the often-overlooked roles of clearinghouses and third-party administrators (TPAs) in healthcare billing and administration. We break down how clearinghouses streamline claims processing by verifying and "scrubbing" claims to reduce errors and ensure faster reimbursements. Listeners will also hear about the functions of TPAs, who manage claims, eligibility, and compliance for providers, easing administrative burdens and enhancing financial

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