DWC Announces 2019 Audit Standards

Claims shops in California will need better scores to pass their 2019 audits after the Division of Workers’ Compensation announced it is tightening the audit standards again. The division said the Profile Audit Review performance standard for 2019 will be 1.36133, down from 1.47573 that was used for 2018. Claims administrators that receive a score equal to or less than the standard are required to pay outstanding compensation, but are not assessed administrative penalties. Shops that score higher than the standard are subject to a heightened Full Compliance Audit. The FCA performance ...