Workers' Compensation News
Investigation Into Double Electrocution Leads to Fraud Charges
State: CA | Segment: WEST |
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Prosecutors in Southern California have filed workers’ compensation fraud charges against the employer of two men who were electrocuted on the job, alleging he underreported payroll and misclassified his employees to make it appear they were in less dangerous positions, according to ...
Injured Police Officer Was Engaged in 'Act of Duty'
State: IL | Segment: NORTH |
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The Illinois Appellate Court ruled that a police officer who was injured in an accident while riding in an unmarked squad car was engaged in an act of duty.
IAIABC Schedules Dec. 7 Webinar on EDI Claims Release 3.1
State: NA | Segment: NATIONAL |
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The International Association of Industrial Accident Boards and Commissions is hosting a webinar on Dec. 7 regarding Release 3.1 of its Electronic Data Interchange, or EDI, Claims Standards.
Insurance Carrier Can Reduce PIP Benefits by Amount Worker Got Through Comp
State: SC | Segment: SOUTH |
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The South Carolina Court of Appeals ruled that an insurance carrier can limit its liability for personal injury protection benefits by including language in its policy reducing the payments by the amount an insured receives from a workers' compensation policy.
Input Needed for Medical Quality Review Audit
State: TX | Segment: SOUTH |
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The Texas Division of Workers’ Compensation is seeking informal comment on potential categories for the 2018 Medical Quality Review Annual Audit Plan.
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Today's Round Up
CA - Mileage Reimbursement Increasing to 54.5 Cents
0 min read
The California Workers’ Compensation Institute said the reimbursement rate for injured workers who have to travel for medical treatment will increase to 54.5 cents per mile in 2018, from 53.5 cents.
The Labor Code requires claims administrators to reimburse injured workers for travel at the standard mileage rate adopted by the Internal Revenue Service. The IRS on Thursday announced that the standard mileage rate would increase to 54.5 cents at the start of the new year.
Mileage reimbursement for injured workers is based on the date of travel, not the date of injury. Claims administrato.
WV - Fired Governor's Aide Named to Appeals Board
Gov. Jim Justice has appointed his fired chief of staff to the Workers’ Compensation Board of Review, a three-member panel that hears appeals of comp claims.
The Charleston Gazette-Mail reported that Nick Casey will replace W. Jack Stevens as a Democratic member of the board and will be paid nearly $104,000.
Justice fired Casey on Aug. 14, 11 days after he announced at a President Donald Trump rally that he was switching his party affiliation from Democrat to Republican.
After initially saying he would not make significant changes to his leadership team following the swi.
CA - DWC Updates Ambulance Fee Schedule
The Division of Workers’ Compensation posted an order incorporating changes made by Medicare into the ambulance services section of the Official Medical Fee Schedule for 2018.
For services rendered on or after Jan. 1, the maximum reasonable fee for ambulance services shall not exceed 120% of the applicable California fees established in the 2018 Medicare Ambulance Fee Schedule File, the DWC said.
The order signed Tuesday by Administrative Director George Parisotto incorporates Medicare’s ambulance fees into the OMFS by reference.
Parisotto’s order also notes that the U.S. .
WA - L&I Proposing Crystalline Silica Exposure Rules
The Washington state Department of Labor & Industries is proposing to adopt a standard addressing respirable crystalline silica exposure in the workplace to ensure its occupational safety requirements are at least as effective as those promulgated by the federal Occupational Safety and Health Administration.
L&I said OSHA adopted crystalline silica exposure limits in June 2016. The state’s Division of Occupational Safety and Health did not have a standard specifically addressing exposure limits.
The department, therefore, is proposing to combine OSHA’s rules into a chapte.
OR - WCD Updates Benefit Notice
The Oregon Workers’ Compensation Division published a revised Bulletin No. 111 to implement legislative and regulatory changes to permanent total and death benefits that take effect at the start of the year.
The revised bulletin also includes a new Form 5332, Notice to Beneficiary of Entitlement to Benefits.
The division said Bulletin No. 111 formerly referred to state average weekly wage percentages as determining the maximum temporary total disability rate. While the average weekly wage determines maximum benefits payable during the fiscal year in which the injury occurs, benefit adj.
CA - No Injunction in QME Dispute; Judge Questions Jurisdiction to Hear Complaint
CA - Little Explanation for Large Increase in SIF Costs
CA - DIR at Odds With Auditor Over Fraud Recommendations
CA - Better ID of Suspended Providers, Process to Report Bad Actors Sought at Hearing
CA - Investigation Into Double Electrocution Leads to Fraud Charges
NATL. - Debate Over Evidence-Based Guidelines Heats Up
CA - DWC Approves Carve-Out Agreement Between Los Angeles and Police Union
CA - DWC Posts Adjustment to Physicians' Fee Schedule
CA - Lien Stay Injunction Postponed Another Week
CA - Judge: QMEs Denied Reappointment Should Get Hearing Within Three Months
Jan 6, 2018
2018 Liens, Costs and Med-Lega
New for 2018 - learn all pertinent laws, skills and tools for lien issues starting January 2018. …
Jan 20, 2018
2018 MCLE Super Saturday
This program provides the six hours of â€œSpecial Requirementâ€ training, wi …
Jan 22-23, 2018
2018 Florida Comp Update
The 2018 Florida Comp Update at the Don CeSar Hotel in Pete Beach, FL, will provide two days of vi …