Workers’ Comp Unwrapped

Send us Fan Mail Workers’ 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.  #Wor...

Send us Fan Mail Ep. 306 – Billing for Vocational Rehabilitation Services in Workers’ Comp Injured 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 t...

Send us Fan Mail Ep. 305 – Higher Disability Payments: Optimizing Billing for TTD Increases The 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 c...

Send us Fan Mail Ep. 304 – New Physician and Pharmaceutical Fee Schedules: What’s Changing in 2025 California’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, c...

Send us Fan Mail Ep. 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 document...

Send us Fan Mail Ep. 302 – Liberty Mutual’s Excessive Refund Requests: How to Fight Back Liberty 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 shar...

Send us Fan Mail Ep. 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 m...

Send us Fan Mail Subtitle: If You Don’t Update the Claim, You’re Updating Your Write-Off List In 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, d...

Send us Fan Mail In 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 den...

Send us Fan Mail In this must-listen episode, Max and Ayesha dive into the critical documents every provider, employer, and insurer must have to stay compliant—and paid—in California’s workers’ comp system. From first reports to lien filings, discover the exact forms, legal requirements, and common documentation pitfalls that can cost thousands in denied claims and penalties. Whether you're n...

Send us Fan Mail In this episode of Workers Comp Unwrapped , Max and Ayesha break down the most important—and often missed—deadlines in California workers’ comp. From bill submissions to lien filings and UR appeals, every stage of the claims process has a strict timeline. And missing even one can mean losing your right to payment. Ayesha shares practical tips to avoid common mistakes, track critic...

Send us Fan Mail In this episode of Workers Comp Unwrapped , Max and guest expert Ayesha dive into the real impact of Maximum Medical Improvement (MMI) on providers. While MMI signals medical stability for injured workers, it opens a new chapter of billing challenges, lien deadlines, and heightened scrutiny for healthcare providers. Learn what MMI truly means under California law, how it affects t...

Send us Fan Mail 🎙 Workers Comp Unwrapped – Episode 223 Title: Collaborative Strategies Between Adjusters, Attorneys, and Providers Subtitle: Because "We Didn’t Get Your Email" Isn’t a Strategy This week, Max sits down with Ayesha to unpack why poor communication keeps claims delayed and payments missing—and what providers can do about it. From broken email chains to lost authorizations,...

Send us Fan Mail Workers Comp Unwrapped – Episode 222 Topic : When to Involve Utilization Review in Workers’ Comp Cases Subtitle : How to Survive UR, Get Approvals, and Actually Get Paid Host : Max Guest : Ayesha Description : Utilization Review (UR): the gatekeeper of treatment approvals and the bane of every provider's existence. In this episode, Max and guest Ayesha dive deep into the what...

Send us Fan Mail 🎙️ Episode 221 – Understanding Workers’ Comp Subrogation: What Providers Should Know Guest: Ayesha | Host: Max Subrogation: that frustrating word insurers love to use when they don’t want to pay your bill. In this episode, Max is joined by returning expert Ayesha to break down what subrogation actually means, how it impacts provider payments, and what you can do to protect your re...

Send us Fan Mail Episode 20 – Unpacking the DOGE Controversy While MLM: Expose the Real Risk In this eye-opening episode, we dive into the growing controversy surrounding Elon Musk’s promotion of DOGE—specifically how his crypto maneuvers are slashing critical maternal health funding, all while publicly advocating for higher birth rates. The contradiction isn’t just ironic—it’s dangerous. We break...

Send us Fan Mail $1M Workers’ Comp Fraud Case: How Being with MLM Could Save You" In this episode of Workers’ Comp Unwrapped , Max Cooper is joined by compliance expert Ayesha Malik to unpack a high-profile fraud case involving a California plumbing contractor ordered to pay over $1 million in restitution. The discussion dives into what went wrong, how the fraud was detected, and what employe...

Send us Fan Mail After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles. Support the show #podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #tr...

Send us Fan Mail Episode 18: Exploring the Role of Blockchain in Workers’ Comp Billing Blockchain technology is poised to revolutionize workers’ comp billing , making claims more transparent, secure, and efficient . But how does it actually work, and what does it mean for medical providers, insurers, and claims professionals ? In this episode of Workers’ Comp Unwrapped , Max & Ayesha break dow...

Send us Fan Mail After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles. Support the show #podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #tr...

Send us Fan Mail Episode 17: The Rise of Virtual Hearings in Workers’ Compensation Cases Virtual hearings are reshaping the workers’ compensation system , making legal proceedings faster, more accessible, and cost-effective . But what does this shift mean for medical providers, attorneys, and injured workers ? In this episode of Workers’ Comp Unwrapped , Max & Ayesha break down: ✅ How virtual...

Send us Fan Mail After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers' comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles. Support the show #podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #tr...

Send us Fan Mail How data analytics can help providers identify patterns in denials, underpayments, and treatment trends to optimise revenue? Episode 16: Leveraging Analytics to Improve Workers’ Comp Billing Outcomes Workers’ comp billing can be a financial and administrative nightmare — claim denials, underpayments, and slow reimbursements can drain revenue from medical practices. But what if you...

Send us Fan Mail After successful Season 01 and ongoing Season 02, MLM is now introducing a session where our workers comp experts answer your most asked questions and discuss strategies for medical providers to overcome the hurdles.  Support the show #podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #...

Send us Fan Mail Workers’ Comp Fraud – What Every Provider Needs to Know Workers’ compensation fraud is a multi-billion-dollar problem that affects medical providers, employers, and the entire healthcare system . But how do you spot fraud, and more importantly, how do you protect your practice from being caught in the middle? In this episode of Workers’ Comp Unwrapped , Max and Ayesha break down:...