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Ep. 312 – E-Billing Compliance: Electronic Signatures – Simplifying Workers’ Comp Documentation
California’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.

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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

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Ep. 311 – E-Billing Compliance: Avoiding Liberty Mutual’s e-EOR Violations

California 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 #CaliforniaHealthcare #LibertyMutual

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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

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Workers’ 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 #HealthcareProviders

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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

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Workers’ 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 #BillingCompliance #ClaimsManagement #ProviderSupport #MaximizeReimbursement #HealthcareBilling #InsuranceBilling #KnowTheLaw

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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

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Workers’ 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 #ClaimsAdjusters #KnowTheLaw

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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

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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.

 #WorkersComp #GigEconomy #Proposition22 #WorkersCompUnwrapped #MedicalBilling #RevenueCycle #ClaimsManagement #HealthcareBilling #ProviderTips #InjuryCoverage #CaliforniaLaw #BillingBestPractices #MedicalProviders #GigWorkerRights #DeniedClaims #ReimbursementStrategies #WorkInjuryClaims #OccupationalHealth #HealthcareCompliance #BillingErrors 

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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

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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 to avoid. Learn the key strategies to ensure your voc rehab claims get paid without delays or denials.

 #WorkersComp #VocationalRehabilitation #MedicalBilling #WorkersCompBilling #VocRehab #BillingTips #ClaimsProcessing #RevenueCycleManagement #MedicalCoding #BillingErrors #ClaimsDenials #BillingCompliance #HealthcareBilling #WorkersCompClaims #BillingBestPractices 

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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 collections moving.

#WorkersCompUnwrapped #TTD2025 #CaliforniaWorkersComp #MedicalBilling #TTDIncrease #HealthcareProviders #MedLegalTips #BillingAccuracy #WorkersCompPodcast #ProviderInsights #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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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.

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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

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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

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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.

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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

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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, when, and how of UR in California workers’ comp cases. From understanding Labor Code § 4610 to decoding why your RFAs keep getting denied, this episode unpacks the rules, timelines, and strategies that separate denied claims from paid ones.

You’ll learn:

• What UR actually is and why it exists
• When you must submit an RFA—and how to do it right
• Common reasons RFAs get denied (and how to fix them)
• What happens after a denial—and when IMR can save the day
• How teams like MLM boost approval rates with smart submission strategies

Whether you're a physician, biller, or just tired of the phrase “we didn’t get your RFA,” this episode is packed with practical insights and compliance-critical tips.

Key Takeaways:

• UR delays = payment denials
• Incomplete RFAs = fast rejections
• Missed timelines = lost revenue
• Strategy = survival

Bonus: Ayesha answers real UR survival questions from the field, including how MLM ensures your RFAs don’t just get sent—they get approved.

Tune in, take notes, and take control of your UR process.

#WorkersCompUnwrapped #UtilizationReview #WorkersComp #MedicalBilling #RFA #CaliforniaWorkersComp #IMR #ProviderSupport #MLM #ClaimsApproval

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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

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🎙️ 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 revenue. From legal rights under California Labor Code to common pitfalls and lien strategies, this episode turns a complex legal mess into clear, actionable steps for providers.

✅ Learn what subrogation is (and isn’t)
✅ Know your rights under LC § 4603.2 and § 3856
✅ Avoid payment delays with lien best practices
✅ Hear how MLM gets providers paid—even when subrogation is in play

📌 If subrogation has ever stalled your payments, this is the episode you can’t afford to miss.

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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

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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 down what this funding shift means for maternal care programs, healthcare providers, and workers’ compensation systems already under pressure. You'll learn how these economic decisions ripple into real-life consequences for frontline medical professionals and families alike.
And while all this unfolds, MLM—Multi-Level Marketing—is often overlooked as a protective structure. We unpack why MLM frameworks might offer the financial buffer and structural resilience healthcare workers and entrepreneurs need in uncertain times like these.
If you're a healthcare worker, policymaker, or someone simply trying to make sense of how crypto hype and public health collide—this episode is for you.

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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

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$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 employers can learn from it.
More importantly, we explore how working with Medical Lien Management (MLM) could have prevented this situation altogether. From payroll discrepancies to audit red flags, MLM’s oversight and compliance support help businesses avoid legal risks, protect revenue, and stay ahead of workers' comp regulations.

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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

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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.

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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

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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 down:
✅ What blockchain is and how it works (in simple terms!)
✅ How blockchain enhances transparency in claims processing
✅ How it prevents fraudulent billing and duplicate claims
✅ How smart contracts can automate approvals and speed up reimbursements
✅ Real-world examples of blockchain being used in healthcare and insurance
✅ Challenges to adoption and what’s next for the industry
With billions lost to fraud and inefficiencies in workers’ comp billing every year, blockchain has the potential to streamline payments, secure medical records, and improve trust between all parties. Whether you’re a medical provider, billing specialist, or industry professional, this episode will help you understand how blockchain could shape the future of workers’ comp.
🎧 Listen now on Spotify, Apple Podcasts, or your favorite streaming platform!

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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

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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.

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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

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