Workers’ Comp Unwrapped
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 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, Max unwraps the essential information you need to know, all in an engaging and straightforward way. Tune in for insightful discussions, expert interviews, and actionable advice to help you manage workers' comp more effectively!
Episodes
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.
#podcast #newepisode #episo...
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 reve...
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 #Comp...
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 #FeeS...
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 #CaliforniaWork...
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 #Wor...
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 ...
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.
#WorkersCom...
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 pre...
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 p...
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 succe...
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&apos...
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 action...
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 sub...
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...
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 tha...
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...
🎙 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 h...
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 ...
🎙️ 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 Ca...
Popular Podcasts
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com
It’s 1996 in rural North Carolina, and an oddball crew makes history when they pull off America’s third largest cash heist. But it’s all downhill from there. Join host Johnny Knoxville as he unspools a wild and woolly tale about a group of regular ‘ol folks who risked it all for a chance at a better life. CrimeLess: Hillbilly Heist answers the question: what would you do with 17.3 million dollars? The answer includes diamond rings, mansions, velvet Elvis paintings, plus a run for the border, murder-for-hire-plots, and FBI busts.
The World's Most Dangerous Morning Show, The Breakfast Club, With DJ Envy, Jess Hilarious, And Charlamagne Tha God!
Does hearing about a true crime case always leave you scouring the internet for the truth behind the story? Dive into your next mystery with Crime Junkie. Every Monday, join your host Ashley Flowers as she unravels all the details of infamous and underreported true crime cases with her best friend Brit Prawat. From cold cases to missing persons and heroes in our community who seek justice, Crime Junkie is your destination for theories and stories you won’t hear anywhere else. Whether you're a seasoned true crime enthusiast or new to the genre, you'll find yourself on the edge of your seat awaiting a new episode every Monday. If you can never get enough true crime... Congratulations, you’ve found your people. Follow to join a community of Crime Junkies! Crime Junkie is presented by audiochuck Media Company.