Workers’ Comp Unwrapped

By Medical Lien Management

Workers' Comp Unwrapped with Max Cooper is your go-to podcast for uncovering the complexities of the workers' compensation system. Join Max Cooper, an experienced industry professional, as h

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FAQs about Workers’ Comp Unwrapped:

How many episodes does Workers’ Comp Unwrapped have?

The podcast currently has 61 episodes available.

Workers’ Comp Unwrapped episodes:

August 01, 2025 Workers Comp Unwrapped 304; New Physician and Pharmaceutical Fee Schedules: What’s Changing in 2025
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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, common mistakes to avoid, and how to prepare your billing team for a smooth transition.

#Podcast #NewEpisode #HealthcarePodcast #WorkersComp #MedicalBilling #MedicalCoding #CPTCodes #FeeSchedules #CaliforniaDWC #PhysicianBilling #DrugPricing #ReimbursementStrategy #BillingUpdates2025 #BuzzsproutPodcast #HealthcareFinance #RevenueCycleManagement #InsuranceBilling #DenialPrevention #MedicalPracticeManagement #NowStreaming #ListenNow
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#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
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16min
July 25, 2025Workers Comp Unwrapped 303; Impact of the 2025 Pure Premium Rate Increase on Provider Billing
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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 documentation, reduce revenue loss, and prepare your workflow for a more aggressive payer environment.
🎙️ Includes:
What the 11.2% rate increase really means

The link between premium hikes and payer behavior

Practical billing and IBR tips to stay protected in 2025

Real talk about tech, timelines, and treatment approvals
#WorkersComp #ProviderBilling #MedicalBilling #WCIRB #ReimbursementStrategy #PurePremiumRate #PayerPolicy #CaliforniaHealthcare #HealthcarePodcast #BillingTips #RevenueCycle #ClaimsDenials #MedicalProviders #UtilizationReview #PreAuthorization

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#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
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17min
July 21, 2025Workers' Comp Unwrapped 302; Liberty Mutual’s Excessive Refund Requests: How to Fight Back
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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 share real cases where providers successfully fought back.
Learn what the law says, how to respond to refund letters, and how to protect your practice from improper recoupments.
🎙️ Highlights:
Why these refund demands are often invalid
Step-by-step process to dispute and win through IBR
Key California labor codes and CCRs to quote
Proactive steps to avoid future refund issues
Support the show
#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
13min
July 14, 2025Workers' Comp Unwrapped 301; Navigating PPO Contracts and Silent PPOs - Maximizing Revenue
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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 medical providers. Whether you're a doctor, biller, attorney, or employer—this is your playbook for fighting back.
🎙️ Topics Covered:
What PPO and silent PPO contracts really mean
How to detect improper repricing
Step-by-step guide to filing SBR and IBR
Real cases and how they were wonPractical tools and legal tips for staying ahead
Support the show
#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
19min
June 20, 2025Workers' Comp Unwrapped 228; Filing Amendments to Workers’ Comp Claims: Best Practices
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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, delays, and lost revenue. Get actionable steps, real-world examples, and insider tips on staying compliant with CCR § 9785 and Labor Code § 4061.
🔍 Learn:
When claim amendments are legally required
Best practices for PR-2s, RFAs, and billing updates
Common mistakes that lead to denied payments
How MLM supports providers through the amendment process
Support the show
#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
16min
June 13, 2025 Workers' Comp Unwrapped 227: Overcoming Common Denials in Post-Acute Care Claims
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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 denials, offering insights into how to submit better claims and fight back when denials occur. From home health care to skilled nursing and physical therapy, providers must navigate these challenges to ensure timely reimbursements and avoid financial losses. Tune in to learn how to streamline your claims process and improve your success rate with post-acute care billing.

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#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
17min
May 30, 2025 Workers' Comp Unwrapped 226; Essential Documents for Workers’ Comp Compliance in California
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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 new to workers' comp or overdue for a documentation overhaul, this episode breaks it down with clarity, compliance tips, and real-world examples.
#WorkersComp #CaliforniaCompliance #HealthcareCompliance #WorkersCompensation #MedicalBilling #DWC #OccupationalHealth #ClaimsManagement #WorkersCompAudit #DocumentationMatters #HealthcareProviders #HRCompliance #WorkplaceSafety
Support the show
#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
22min
May 23, 2025 Workers' Comp Unwrapped 225; Avoiding Pitfalls in Workers’ Comp Timelines: From Filing to Follow-Up
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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 critical dates, and implement systems that prevent revenue loss. Whether you’re billing, appealing, or filing liens, this episode helps you stay compliant—and get paid.
Support the show
#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
16min
May 22, 2025 Workers' Comp Unwrapped 224; What Happens After Maximum Medical Improvement (MMI)?
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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 treatment approvals, and why failing to act quickly post-MMI can jeopardize your payments. Ayesha shares actionable insights on lien strategy, UR compliance, and how to avoid the most common mistakes providers make after MMI is declared.
If you're a provider navigating the complexities of workers' comp claims, this episode is your roadmap to staying protected—and paid—after MMI.
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#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
15min
May 16, 2025Workers' Comp Unwrapped 223; Collaborative Strategies Between Adjusters, Attorneys, and Providers
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🎙 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, they explore how early, consistent collaboration between adjusters, attorneys, and providers can speed up authorizations, reduce lien disputes, and get bills paid faster.
🔎 Topics covered:

Why communication breaks down in workers' comp
3 key stages where collaboration changes outcomes
Proven strategies to stay documented, stay visible, and stay paid

Whether you’re a provider, a billing team, or just tired of “we didn’t get your email,” this episode offers practical steps to take control of your claims.
Support the show
#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

For more info
Call 📱 888-296-1109
Book Appointment Now | https://medicallienmgt.com/contact/
...more
12min

FAQs about Workers’ Comp Unwrapped:

How many episodes does Workers’ Comp Unwrapped have?

The podcast currently has 61 episodes available.