Industry Insights
| Employer Controlled Medical Treatment | 07/29/2006 | ||
| State: CA | Segment: | 0 | |||
| The following is an excerpt from the recently published treatise on the two-year anniversary of SB 899 by attorney Michael Sullivan. The full document can be downloaded here. Employer control of medical tr...Read More | |||
| Erroneous Rating Study Part VII | 06/17/2006 | ||
| State: CA | Segment: | 0 | |||
| In the prior article we discussed our national study of 2100 impairment rating reviews; 80% of all ratings reviewed were erroneous, with 89% of the erroneous ratings being elevated. We also explored reasons for erroneous ratings. In this article we will present several strategies to assure accurate ...Read More | |||
| EDI Update - a State by State Summary | 06/17/2006 | ||
| State: CA | Segment: | 0 | |||
| The following is a summary of recent changes to EDI requirements changes state by state. State Mandates Colorado - Mandated EDI filing effective July, 1 2006. All First Reports and Notices of Contests (Denials) must be filed by EDI starting in July. All Denials in Colorado must...Read More | |||
| ERRONEOUS RATINGS STUDY: PART VI | 05/20/2006 | ||
| State: CA | Segment: | 0 | |||
| In the previous installments we examined some of the common reasons for erroneous ratings, in this issue we will look at errors in the rating process itself. The Guides criteria must be applied appropriately. Section 2.5b Combining Impairment Ratings explains "Begin with an estimate of th...Read More | |||
| Erroneous Rating Study Part V | 04/22/2006 | ||
| State: CA | Segment: | 0 | |||
| In the last issue we examined how erroneous clinical assessment will result in an erroneous rating. In this installment we will explore problems with inaccurate causation assessment. In assessing impairment it is necessary to distinguish what impairment is related to the alleged injury as...Read More | |||
| Employer's Rights in the New Voc Rehab | 04/08/2006 | ||
| State: CA | Segment: | 0 | |||
| The following is an adaptation of an ongoing thread in the California Injured Workers Forum at www.workcompforums.com. The original has been edited for spelling and grammar. Question:If an employee has permanent work restrictions which makes him e...Read More | |||
| Erroneous Ratings: Part IV | 03/25/2006 | ||
| State: CA | Segment: | 0 | |||
| In the last article we examined some of the common reasons for erroneous ratings. This installment looks at how incorrect clinical assessment will result in an erroneous rating. There are many potential rating errors resulting from inaccurate clinical or causation analysis. These include...Read More | |||
| Emotional Distress - AIDS Phobia | 03/25/2006 | ||
| State: CA | Segment: | 0 | |||
| COURT IMPOSES 6-MONTH LIMIT ON DAMAGES FOR AIDS PHOBIA IF TEST RESULTS ARE NEGATIVE Ornstein v. New York City Health and Hospitals Corp., NYLJ 01/09/06 (1st Dept 2006) The central question raised on this appeal was whether plaintiff had a viable claim for emotional and ...Read More | |||
| Erroneous Ratings Study: Part III | 03/11/2006 | ||
| State: CA | Segment: | 0 | |||
| by Chris Brigham, MD In the prior article we discussed our national study of 2100 impairment rating reviews and presented our findings: 80% of all ratings reviewed were erroneous, with 89% of the erroneous ratings being elevated. In this article we will start to explore some of the causes...Read More | |||
| Even More SJDB FAQs | 03/11/2006 | ||
| State: CA | Segment: | 0 | |||
| by Alan Leno Once we know an applicant with a 2004 date of injury is entitled to a voucher, how long do we have to issue the voucher? There continues to be much confusion in claims departments regarding the time frame for issuing vouchers to eligible injured workers. Per ...Read More | |||
