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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

12:15

Workers Comp Unwrapped 319; Proposed Utilization...

Workers’ Comp Unwrapped ·

2025/12/09

Send us a textThat feeling when Sacramento drops another “update” — and you’re not sure whether anything actually changed.For months, we’ve been reading DWC bulletins, tracking revisions, and waiting to see which Utilization Review amendments will survive the OAL review process.In Episode 319, Anique and Angela finally break it all down:What’s really in the proposed UR changesWhat was sent back for revisionWhat’s likely to go live in 2026How PR-1, RFAs, MTUS documentation, and EDI submissions might

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13:36

Workers Comp Unwrapped 318; Appealing IMR Delays:...

Workers’ Comp Unwrapped ·

2025/12/03

Send us a textEp. 318 — Appealing IMR Delays: Strategies for Faster ResolutionsIMR delays can stall treatment and frustrate patients. Join Anique and Angela as they break down why IMR delays happen and how providers can speed up the process. Learn actionable strategies to reduce turnaround times using proactive documentation, MTUS-based justification, strict timeline tracking, and clear communication with adjusters.#WorkersCompUnwrapped #IMR #UtilizationReview #CaliforniaWorkersComp #MedicalBilling

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12:24

Workers Comp Unwrapped 317; Managing Denied...

Workers’ Comp Unwrapped ·

2025/11/26

Send us a text Denied post-acute care claims are common, but avoidable. In Episode 317, Anique and Angela break down why denials happen, the documentation insurers actually want, and how to appeal successfully using MTUS-aligned, detailed clinical evidence. #WorkersCompUnwrapped #WorkersComp #PostAcuteCare #MedicalBilling #ClaimDenial #CaliforniaProviders Support the show #podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #bill...

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18:07

Workers Comp Unwrapped 316; Overcoming Utilization...

Workers’ Comp Unwrapped ·

2025/11/20

Send us a textEp. 316 – Overcoming UR Denials in 2025California’s UR rules have evolved, and so should your strategy. Anique and Angela break down how to write RFAs that get approved, avoid common denial traps, and navigate Independent Medical Review (IMR) successfully. Learn the latest 2025 updates, timelines, and documentation tips to secure treatment authorizations faster.#WorkersCompUnwrapped #CaliforniaWorkersComp #URDenial #RFA #IMR #MedicalBilling #ProviderTipsSupport the show#podcast

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12:39

Workers Comp Unwrapped 315; Preparing for Billing...

Workers’ Comp Unwrapped ·

2025/10/28

Send us a textEp. 315 – Preparing for Billing Audits: Ensuring Compliance in 2025Billing audits are tightening in 2025, and even small mistakes can lead to big penalties. Anique and Angela break down the new audit standards, common red flags, and practical strategies to stay compliant. Learn how to run internal audits, document medical necessity, and avoid costly errors before regulators come calling. #WorkersComp #MedicalBilling #AuditCompliance #CaliforniaHealthcareSupport the show#podcast

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15:39

Workers Comp Unwrapped 314; Navigating OSHA...

Workers’ Comp Unwrapped ·

2025/10/23

Send us a textEp. 314 – Navigating OSHA Compliance for Medical Practices in Workers’ CompOSHA compliance isn’t just for employers. Medical practices treating workplace injuries must follow OSHA rules for documentation, exposure control, training, and staff safety. Anique and Angela break down what providers need to know, common pitfalls, and practical tips for staying compliant while supporting workers’ comp cases. #WorkersComp #OSHA #HealthcareCompliance #MedicalProvidersSupport the show#podcast

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15:22

Workers' Comp Unwrapped 313; Electronic Signatures:...

Workers’ Comp Unwrapped ·

2025/10/04

Send us a textEp. 312 – E-Billing Compliance: Electronic Signatures – Simplifying Workers’ Comp DocumentationCalifornia’s AB 2337 makes electronic signatures valid for workers’ comp documentation, streamlining billing and compliance. In this episode, Anique and Angela explain what the law requires, how e-signatures improve efficiency, and the compliance rules providers need to follow.Support the show#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors

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14:35

Workers Comp Unwrapped 311; E-Billing Compliance:...

Workers’ Comp Unwrapped ·

2025/09/24

Send us a textEp. 311 – E-Billing Compliance: Avoiding Liberty Mutual’s e-EOR ViolationsCalifornia law requires insurers to send compliant electronic Explanations of Review (e-EORs) when providers submit electronic bills. But Liberty Mutual is failing to follow the rules. In this episode, Max and Angela break down the law, highlight Liberty’s violations, and share tools providers can use to enforce compliance and protect their revenue.#WorkersCompUnwrapped #WorkersComp #EBilling #EOR

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13:35

Workers Comp Unwrapped 310; Navigating AB 1870:...

Workers’ Comp Unwrapped ·

2025/09/18

Send us a textWorkers’ Comp Unwrapped Episode 310:California’s AB 1870 updates workplace poster requirements starting January 1, 2025. Max and Angela break down what multi-role practices need to do to stay compliant, from updated postings and multilingual versions to placement strategies. Discover how to prevent fines and disputes with this straightforward yet essential compliance checklist.#WorkersComp #CaliforniaLaw #AB1870 #Compliance #HealthcareProvidersSupport the show#podcast #newepisode

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17:45

Workers Comp Unwrapped 309; Medical-Legal Cost...

Workers’ Comp Unwrapped ·

2025/09/11

Send us a textWorkers’ Comp Unwrapped Episode 309:Dive into California’s 2025 medical-legal fee schedule updates and what they mean for providers. Learn documentation strategies, accurate coding practices, timeline management, and tips to maximize reimbursements. Plus, uncover common pitfalls to avoid and how to challenge underpayments effectively.#WorkersCompUnwrapped #Episode309 #WorkersComp #MedicalLegal #CaliforniaBilling #FeeSchedule2025 #MedicalBilling #ReimbursementStrategies

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12:04

Workers Comp Unwrapped 308; Billing for Freelance...

Workers’ Comp Unwrapped ·

2025/08/29

Send us a textWorkers’ Comp Unwrapped Episode 308:Explore billing for freelance worker injuries under SB 988 in California. Learn verification steps, documentation requirements, and billing best practices to ensure compliance and timely reimbursements.#WorkersCompUnwrapped #Episode308 #WorkersCompBilling #FreelanceWorkers #GigEconomy #IndependentContractors #HealthcareReimbursement #MedicalBilling #BillingCompliance #CaliforniaWorkersComp #InsuranceBilling #ReimbursementTips #ProtectFreelancers

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22:58

Workers Comp Unwrapped 307; Billing for Gig Worker...

Workers’ Comp Unwrapped ·

2025/08/22

Send us a textWorkers’ Comp Unwrapped Episode 307:Navigating gig worker injuries under California’s Proposition 22 can be tricky for providers. In this episode, Max and Ayesha break down the rules for billing, common claim challenges, and strategies to maximize reimbursements while staying compliant. Learn how to handle approvals, coding, documentation, and appeals for gig worker claims. #WorkersComp #GigEconomy #Proposition22 #WorkersCompUnwrapped #MedicalBilling #RevenueCycle #ClaimsManagement

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18:41

Workers Comp Unwrapped 306; Billing for Vocational...

Workers’ Comp Unwrapped ·

2025/08/15

Send us a textEp. 306 – Billing for Vocational Rehabilitation Services in Workers’ CompInjured workers often need vocational rehab to get back to work—but how do you bill for those services correctly in workers’ comp? In this episode, Max and Ayesha explore the ins and outs of billing for voc rehab services, including the correct codes, documentation requirements, and common billing mistakes to avoid. Learn the key strategies to ensure your voc rehab claims get paid without delays or

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15:54

Workers Comp Unwrapped 305; Higher Disability...

Workers’ Comp Unwrapped ·

2025/08/08

Send us a textEp. 305 – Higher Disability Payments: Optimizing Billing for TTD IncreasesThe California TTD rate is rising 3.8% in 2025—good news for injured workers, but a billing challenge for providers. In this episode, Max and Ayesha explain how the new rates affect medical billing, med-legal evaluations, and claim timelines. Learn best practices to stay accurate, avoid disputes, and keep collections moving.#WorkersCompUnwrapped #TTD2025 #CaliforniaWorkersComp #MedicalBilling #TTDIncrease

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15:34

Workers Comp Unwrapped 304; New Physician and...

Workers’ Comp Unwrapped ·

2025/08/01

Send us a textEp. 304 – New Physician and Pharmaceutical Fee Schedules: What’s Changing in 2025California’s DWC has released updated physician and pharmaceutical fee schedules for 2025. In this episode, Max and Ayesha unpack the new CPT codes, drug pricing benchmarks, and conversion factors, and explain how accurate coding prevents denials and maximizes reimbursements. Learn what’s changing, common mistakes to avoid, and how to prepare your billing team for a smooth transition.#Podcast #NewEpisode

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16:20

Workers Comp Unwrapped 303; Impact of the 2025 Pure...

Workers’ Comp Unwrapped ·

2025/07/25

Send us a textEp. 303 – Impact of the 2025 Pure Premium Rate Increase on Provider Billing The WCIRB has approved an 11.2% increase to the 2025 pure premium rate—but what does that mean for California medical providers? In this episode, Max and Ayesha break down the ripple effect this has on reimbursement, preauthorization, denials, and provider billing strategy. Learn how to strengthen documentation, reduce revenue loss, and prepare your workflow for a more aggressive payer environment.🎙️

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12:04

Workers' Comp Unwrapped 302; Liberty Mutual’s...

Workers’ Comp Unwrapped ·

2025/07/21

Send us a textEp. 302 – Liberty Mutual’s Excessive Refund Requests: How to Fight BackLiberty Mutual has been sending refund requests for authorized, properly billed medical services, but do you really have to pay them back? In this episode, Max and Ayesha break down the legality of these demands, explain how to challenge them through California’s Independent Bill Review (IBR) process, and share real cases where providers successfully fought back.Learn what the law says, how to respond to refund

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18:31

Workers' Comp Unwrapped 301; Navigating PPO Contracts...

Workers’ Comp Unwrapped ·

2025/07/14

Send us a textEp. 301 – Navigating PPO Contracts and Silent PPOs: Maximizing Revenue In this season opener, Max and Ayesha break down the world of PPO contracts and expose the hidden impact of silent PPOs on your workers’ comp reimbursements. Learn how to identify unauthorized discounts, challenge underpayments, and protect your revenue using the tools and regulations available to California medical providers. Whether you're a doctor, biller, attorney, or employer—this is your playbook for

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15:08

Workers' Comp Unwrapped 228; Filing Amendments to...

Workers’ Comp Unwrapped ·

2025/06/20

Send us a textSubtitle: If You Don’t Update the Claim, You’re Updating Your Write-Off ListIn this episode of Workers Comp Unwrapped, Max is joined by Ayesha to break down why timely and accurate claim amendments are essential in California workers’ compensation. From new diagnoses and expanded body parts to treatment plan changes, they cover when and how to file amendments to avoid denials, delays, and lost revenue. Get actionable steps, real-world examples, and insider tips on staying compliant

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16:41

Workers' Comp Unwrapped 227: Overcoming Common...

Workers’ Comp Unwrapped ·

2025/06/13

Send us a textIn this episode of Workers Comp Unwrapped, Max and Ayesha dive into the frustrating world of post-acute care claim denials, where even the most necessary treatments can be deemed "not medically necessary." They explore common reasons for denials, including lack of prior authorization, coding errors, and medical necessity disputes. Ayesha shares strategies to prevent denials, offering insights into how to submit better claims and fight back when denials occur. From home health

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