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This article addresses the infamous six-month rule, what exactly the rule is, how far it can be taken and how to stop it from being taken too far. It is not the purpose of this article to delve into whether, and to what extent, a psyche claim can still be alleged post-January 2013.
While the Commercial Repayment Center (CRC) has faced some valid criticism over the past year and a half over its recovery efforts on behalf of the Centers for Medicare and Medicaid Services (CMS), not all problems start with the CRC. CRC’s recovery efforts are driven by the data ...Read More
As the chair-elect of the Workers’ Compensation Section of the Florida Bar, I believe it is important to correct misconceptions and misstatements made by the head of the Florida Chamber of Commerce regarding Florida’s workers’ compensation system and the attorneys who represent ...Read More
The Texas Closed Formulary is constructed such that any compounded medication containing all “Y” ingredients (contrasted with “N” drugs) will process as presumptively approved and thus be subject only to retrospective review. The exception is a non-FDA approved or exp...Read More
In the 1985 board game-inspired movie "Clue," we are treated to a summation of the crimes by Wadsworth (Tim Curry, who may or may not have been the butler). The movie is known for its four alternative endings, each as plausible, and ridiculous, as the last. In one, Wadsworth notes "...Read More
I had the privilege of testifying for the Nebraska Business & Labor Committee on Feb. 8 on Legislative Bill 1005, which would require the Nebraska Workers' Compensation Court to adopt an evidence-based drug formulary.