Overview:
This course is essential for any professional in workers’ compensation who creates, reviews or processes PR-4 Reports or QME/AME Reports. In this informative webinar, the attendee will learn how to both create and review AMA Guides 5th Edition validated impairment ratings by Dr. Alchemy, MD, QME, CIME.
Included in this webinar will be the most common mistakes in impairment reports such as measurement errors, calculations, and the subtle less well understood topics such as strength testing and gait analysis. Dr. Alchemy will also be teaching on a new approach to impairment rating techniques based on "data set construction" and analysis. We will also visit the concepts of examiner and institutional bias in the impairment rating process.
Discussion:
1. Understand what is a ratable impairment data set
2. Understand how to take a correct impairment history
3. Understand how to take correct impairment measurements
4. Understand appropriate elements for valid strength and gait ratings
5. Be able to discuss the concepts of bias in impairment rating reports
Sue Honor-Vangerov is the Managing Attorney for the lien unit at Floyd Skeren & Kelly. Sue, formerly Medical Unit manager for the California Division of Worker's Compensation, is a recognized subject matter expert in California medical billing, fee schedule and lien matters.
Enroll in the Series of 3 for $179
Please call to purchase or follow this link:
https://ww3.workcompcentral.com/education/course/course_pk/895
Overview:
Includes 3 sessions:
PART 1:
"2015 Physician’s Fee Schedule Update - Part (1/3)"
Session 1 discusses what has changed for physician billing for 2015, new conversion factors, updated regulations, dispute resolution trends.
PART 2:
"2015 Facility Fee Schedule Update - Part (2/3)"
Session 2 discusses recent changes to both Inpatient and Outpatient facility billing for 2015.
PART 3:
"2015 Emerging Fee Schedule Issues - Part (3/3)"
Session 3 discusses the current problems being experienced by providers and payers in workers’ compensation.
About the Presenter:
Sue Honor-Vangerov is the Managing Attorney for the lien unit at Floyd, Skeren & Kelly. Sue, formerly Medical Unit manager for the California Division of Worker's Compensation, is a recognized subject matter expert in California medical billing, fee schedule and lien matters.
Register:
Series of 3 for only $179.
Individual sessions are $69 each, when purchased a-la-carte.
This provides access to the Introduction and the 4-part series. David DePaolo introduces Seismic Shifts in WC, an exclusive report researched and written by Peter Rousmaniere, workers’ comp industry journalist with a special focus on work injury risk.
The training series includes
Intro to Seismic Shifts in Workers’ Comp on February 24
Lit Up Claims: A New Era of Claims Management on March 3
Expand Beyond Workers’ Comp To Absence Management on March 10
Injury Saving Technology: Adapting to the Automation Age on March 17
Breakthroughs in Injuries and Claims Data Access on March 24
Overview:
Training will include Advanced Litigating techniques, and discussion of:
- Connecting the dots for AOE/COE – The new medical treatment paradigms.
- Unique aspects of Psychiatric cases (Rolda v. Pitney Bowes (2001) 66 CCC 241).
- Permanent disability and rebuttal Issues.
- Medical-legal –Steps to take to ensure reports constitute substantial evidence.
- VR Reports – Steps to take to ensure reports constitute substantial evidence (Compliance w/ Reg 10606.5).
- When lack of objection constitutes assent (J.C. Penney v. WCAB, (Edwards), (2009) 74 Cal. Comp. Cases 826.).
- Six Steps to ensure adequate apportionment determinations.
- Tips for filing appeal of workers’ comp decisions.
Overview:
New Year, New Normal, New Workplace…New Rules? The Impact of Remote Work and Home Offices on Workers’ Compensation
In this webinar, ODG by MCG’s VP of Government Affairs, Patrick F. Robinson, JD, MBA, will discuss the origin and recent trends concerning telework/home offices, how different jurisdictions have analyzed work accidents occurring at home, and suggested best practices for incorporating remote employment in workers’ compensation.
Learning Objectives:
- Understand the history of telework/home offices
- Evaluate recent trends in remote employment caused by the COVID-19 pandemic
- Assess how different jurisdictions have analyzed home employment in the context of workers’ compensation, both jurisprudentially and legislatively
- Identify “best practices” for successfully incorporating remote work in workers’ compensation
Instructor:
Patrick F. Robinson - VP of Government Affairs, ODG by MCGTo handle claims involving only medical benefits, each medical-only claims adjuster shall receive a Medical-Only Claims Adjuster Designation Form that verifies he or she has completed at least 80 hours of training, with at least 50 hours of training being conducted in a classroom with an instructor or has met the requisite experience requirements as set forth in the regulations (Section 2592.01(g)). Subsequent to the initial designation, all designated medical-only claims adjusters shall receive a Post-Designation Training Form that demonstrates he or she has met the required 20 hours of post-designation training every two years.
Overview:
When it comes to Return-to-Work programs, one size does not fit all. Companies need options that focus on whole person recovery and minimize disruption to the organization’s day-to-day operations. Injured workers can be accommodated with temporary light-duty work at non-profit organizations. The employer and carrier can significantly reduce workers’ compensation costs while giving back to the community by using a charity organization as an offsite modified duty option. This type of program can help employees return to work faster, reduce risk and symptoms of depression, and provide a positive environment for the injured worker. Allowing employees to volunteer while recovering from an injury helps them to focus on their abilities rather than their disability and strengthens your company’s connection to the community.
Learning Objectives:
- Learn the essential components of developing an offsite return-to-work program.
- Identify the appropriate claims for this type of program.
- Explore best practices for implementing offsite transitional duty.
- Understand the value and community impact of this type of program.
Instructors:
Debra Livingston - Founder & CEO, ReEmployAbilityXavier Trapp - Senior Claims Manager, Floor & Decor
Chad Beinschroth - Claims Manager, ABM Industries
Joy Hughley - Account Manager, Cannon Cochran
Learn to navigate the treacherous waters of UR / IMR, and get the list of DO's and DO NOT's for Applicants, Defendants and Doctors.
Discussion:
- UR/IMR: Friend or Foe?
- Historical Underpinnings
- How did we get here?
- Cost Modalities
- Constitutionality
- Dubon I and II
- Appealing IMR
- Can the system be navigated?
- A Practical Analysis
- Scope of MTUS
- IBR: Basic Concepts
The Claims Specialist's Start Guide: CA Adjuster Cert Process, Historical Overview, Organizational Structure of WC System, WC Terms and Concepts, Basic Benefits & TD and SJDB Vouchers.
Topics to be Covered:
- CA Adjuster Cert Process
- Historical Overview
- Organizational Structure of WC System
- WC Terms and Concepts
- Basic Benefits & TD
- SJDB Vouchers
Instructor:
Hon. Colleen S. Casey
Overview:
This training will examine the basic tenets of workers’ compensation law every claims specialist should master. All material will focus on four main subject areas:
1) Identifying the Industrial Injury
2) The Employment Relationship
3) WCAB Jurisdiction
4) Criteria for accepting or denying the Claim
Discussion:
- Distinguishing causation of injury versus causation of disability
- Problems encountered with meeting burdens of proof
- Unique issues when dealing with cumulative traumas
- When date of injury may be a moving target
- What is injurious exposure and when does liability attach
- How to recognize when an injury arises out of and occurs in the course of employment (AOE/COE)
- What are the exceptions to the basic AOE/COE rule?
- Employee vs. Independent Contractor: How are the Borello employment criteria for applied?
- Constitutional and legislative authority for WCAB jurisdiction
- Explanation of the exclusive remedy rule
- Presumption of liability
- Nature and extent of duty to investigate
- Permissible perimeters of the LC 5402 delay period
This training will provide attorneys and physicians with everything you need to know about the medical-legal issues involved in "psyche" cases - from the initial diagnosis through the discovery process to the separate analysis of causation of injury, causation of impairment, and legal apportionment will be covered.
The training panel will present an interactive process between an AME psychiatrist, a defense attorney, and applicant attorney and a workers' compensation judge.
Discussion:
- How is a psychiatric diagnosis made?
- Does the DSM-5 apply?
- How can you rebut a GAF-WPI rating?
- What do defense attorneys look for in defending against psyche cases?
- What does current case law say about psychiatric cases?
- How does SB 863 apply in psyche cases?
Overview:
This is a four-hour MCLE program that addresses the specific issues of the prosecution and defense of cases involving employee leasing companies, general-special employment law, and handling cases when the employer or the PEO is uninsured.Learning Objectives:
Upon completion, attendees can be sure to take away these main points:- Attendees will understand the origin and evolution of employee leasing companies
- Is a PEO the injured worker’s employer?
- How to properly name defendants
- How to conduct discovery when a PEO or employee leasing agreement is in effect
- How to obtain insurance coverage information while you unpeel the onion
- How PEO cases can be linked to the prosecution and defense of uninsured employers
- How does the UEBTF work?
- What is the current case law on PEOs and employee leasing?
- What do Applicant and Defense attorneys need to know about serving an uninsured employer, how to join the UEBTF and OD Legal
- How does a C&R or Stipulated Award work when an employer is uninsured?
Instructors:
Hon. Robert Rassp - Presiding Judge, Los Angleles WCABHon. David Pollak - Judge, Van Nuys WCAB
Christopher Hartman, Esq. - Deputy District Attorney, Los Angeles
Overview:
In early 2022, Medicare announced changes which caused great concern for the workers’ compensation community nationwide. On January 10, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued version 3.5 of its Workers’ Compensation Medicare Set-Aside (“WCMSA”) Reference Guide (the “Reference Guide”), adding Section 4.3 (The Use of Non-CMS-Approved Products to Address Future Medical Care). On February 18, 2022, CMS held a town hall webcast to explain and expand on the update. On March 21, 2022, CMS published Version 3.6 of the WCMSA Reference Guide, specifically amending Section 4.3, and addressing the questions and concerns the workers compensation industry had with Section 4.3.
WCMSAs are still voluntary. The only legal requirement of settling parties is that litigants make sure Medicare remains a secondary payer post settlement for any and all medical bills related to the work accident, injuries, or illnesses. Although CMS’ voluntary WCMSA amount review process is the only process that offers both Medicare beneficiaries and workers compensation entities government approved finality with respect to obligations for medical care required after a settlement, judgment, award, or other payment occurs, legally, settling parties may use a non-CMS approved WCMSA to protect Medicare’s future interests.
Based on its latest amended language, CMS may, at its sole discretion, deny payment for medical services related to the WC injuries or illness, requiring attestation of appropriate exhaustion equal to the total settlement less procurement costs and paid conditional payments, before CMS will resume primary payment obligation for settled injuries or illnesses. Such a denial of future payment for medical services related to the WC injuries or illnesses may take place unless it is shown, at the time of exhaustion of the non-submit WCMSA funds, that the initial funding of the WCMSA was sufficient, the utilization of WCMSA funds was appropriate, and the WCMSA is completely exhausted.
Learning Objectives and Talking Points:
Attendees will learn that non-submit WCMSAs may still be used by parties to take Medicare’s future interests into account so long as the injured worker understands that when the WCMSA funds have been exhausted, and the injured worker wishes Medicare to assume primary payer responsibilities for the work related injuries or illnesses, he/she must prove to Medicare that:
- The initial funding of the MSA was sufficient.
- Utilization of WCMSA funds was appropriate.
- The non-submit WCMSA is completely exhausted.
- The settlement took place after January 11, 2022.
- Non-review thresholds still apply to settlements.
- Parties must consider Medicare's interests.
Instructors:
Rafael Gonzalez, Esq. - Cattie & GonzalezShawn Deane - Ametros
Teddy Snyder, Esq.
All CLR students must complete this test assessment.
All CLRA students must complete this test assessment.
Overview:
An Independent Medical Exam (IME) can be an effective tool for claims management, but navigating the timelines and regulations can be challenging, especially in the Golden State. In this webinar, we go beyond the basics and dive into some of the steps and regulatory procedures surrounding IMEs and PQMEs. Participants will walk away with effective strategies to put into practice immediately to ensure an IME/PQME is an effective tool when managing a claim.Learning Objectives:
During the webinar, our instructors will answer these questions and more:- When should a PQME be considered during the work comp claim process?
- How to request a PQME with the State?
- Why request a PQME if the injured worker receives approved/authorized medical treatment?
- What pre-planning can be done at the onset of the PQME to avert or avoid the problems that typically occur?
- What happens when Employee is non-compliant? Or forget/misses the appointment?
Continuing Education Credits:
Texas Claims, Florida Claims, and Nursing Credits are still pending at this time.
Instructors:
Laura Gorman - MTI AmericaSusan Emerson - Retired Delta Airlines
Kathleen Brundo, Esq. - Brundo Law
Karen Aguirre - Medsource National
What is an uninsured employer? How do you handle an uninsured employer case as defense counsel? As an applicant attorney? Join Tobin Lucks’ Nate Halprin for a special one hour webinar to answer these questions.
Discussion:
- Prima facie cases of uninsured status
- Establishing eligibility for the U.E.B.T.F.
- Choosing the correct venue
- Policies and procedures
- Enforcement of the judgment
This is an introduction to the claims adjuster certification process in California.
Overview:
To educate employers, risk managers, attorneys, and insurance professionals on the power of human connection and language across various elements of the workers’ compensation system from multiple lenses to improve consumable communication orally and in writing to deliver effective messages based on audience and context. This is based on the psychological components of human connection in addition to Maslow’s Hierarchy and Herzberg’s Two Factor Theory.
Course Relevance:
This course will help employers, risk managers, and claims professionals to develop knowledge, skills, and judgment around human connection that facilitate the ability to work collaboratively for greater outcomes within the workers’ compensation industry understanding the science behind human behavior to drive more effective outcomes for improved outcomes fiscally as well as culturally.
Purpose of Course:
Communication is imperative, especially in workers’ compensation. There is power in communication. The words you use and how often you communicate can have a positive effect or a depleting effect on an injured worker as well as their recovery journey.
Not everyone absorbs information the same. Having a multitude of communication avenues can increase transparency and clarity, leading to more consumable information and less miscommunication. While miscommunication is one of the most underestimated productivity killers, it can also derail relationships due to ineffective communication.
The purpose of this course is to discuss essential communication contacts, methods of communication, frequency of communication, and all things soft skills from verbiage to tone in both oral and written forms.
Instructor:
Dr. Claire MuselmanOverview:
With a clinical background in mindfulness, stress management, grief recovery, and critical incident stress, David Vittoria will guide attendees, in a strengths-based and positive format, discussing how we can focus on thriving to adapt and thrive amidst the challenges of life. With science-based facts about our innate capacity for resilience and our brain’s ability to reorganize and restructure its functions, David discusses practical tips and offers helpful resources that can be easily applied in order to bring each of us more calm, clarity, confidence, and connection.Program Learning Objectives:
- Explore Hierarchy of Needs
- Define Resilience
- Understand the 8 C’s of Self Leadership
- Neuroplasticity & Importance of Focused Thoughts
- Helpful Resources
Instructor:
David Vittoria - Sr. Vice President, Clinical Business & Product Development - Carisk Partners
Overview:
This course provides an overview of jurisdictional challenges and legal components in return-to-work programs. It will explore return-to-work legislation’s impact on the Injured Workers’ motivation to return to work, reasons for seeking counsel, and reducing the impact of litigation on employers. Experienced panelists will discuss legal climate, best practices for return-to-work programs and address the nuances of communicating with an injured worker. The course also covers the role of each party in communication, specific state requirements for offsite modified duty programs and how light duty work can impact litigation and settlement.
Learning Objectives:
- Identify specific requirements and common legal challenges for light duty and transitional work assignments.
- Understand jurisdictional components, litigation trends and case law.
- Discuss the challenges involved in transitional work assignments including communication, risk of reinjury and safeguarding strategies.
- Explore the legal climate of return-to-work programs in different jurisdictions.
Instructors:
Debra Livingston - ReEmployAbilityJason Kolecke, Esq. - Hennessy & Roach
M. George Waters, Esq. - Eraclides Gelman
Ya'Sheaka Williams, Esq. - QPWB
Michelle Sebring, Esq. - LFLM
Overview:
This rating course promises comprehensive presentations by the experts. Tune your skills as the experts debate the most pertinent disability rating issues. This expert panel will teach you how to rate and value your case the right way.
Seminar Curriculum:
- The big question about every case: What’s it worth?
- What is rating?
- Rating is the process of determining PD, through rating strings, after MMI
Applicant Attorney and Facilitator
Law Offices of Rowen, Gurvey and Win
Honorable Mitchell Bushin
WCAB Judge
Van Nuys WCAB
Liz Valenzuela
Defense Attorney
Law Offices of Valenzuela and Ginzburg
Mark Kremer
Rating Expert
Speed Rating - Permanent Disability Rating Services
Overview:
New! Our 20 Tips Claims Series is designed especially for workers’ compensation claims professionals. This webinar includes a fast-paced panel discussion offering practical tips to help claims professionals become more effective at managing workers’ compensation claims. The panel will offer helpful tips you can implement immediately.Program Learning Objectives:
- Essential tips and best pratices from experienced workers' compensation claims professionals.
- Practical tooks and resources to help you become more effective at handling workers' comp claims.
- Strategies you can use at your desk and establish right away.
These panelists will offer a fun, engaging, and fast-paced hour full of practical tools and strategies work comp claims professionals can put to use the same day. Attendees will learn useful tips and best practices focused on where and how to focus your efforts during the first 90 days of a claim.
Did you know? According to Alan Pierce, J.D. – Pierce, Pierce & Napolitano (and recipient of the 2019 Comp Laude® Award in the Applicant Attorney category), here are the top 10 reasons injured workers retain an attorney:
- Claim is denied
- Lack of contact by employer/carrier
- Overbearing and/or intrusive contact by the employer
- Bills go unpaid, prescriptions not reimbursed, or check is late
- Attorney advertisement or solicitation
- The advice of friends, family, or medical provider
- Lack of modified duty work options, employer harassment after return to work
- Worker/employer dissatisfaction
- Loss of health insurance or other benefits
- An accident that was easily avoidable (lack of safety training, accident prevention)
Get ready to learn from these experienced workers’ comp claims professionals. Send your questions ahead of time for the panel to: education@workcompcentral.com
Instructors:
Stuart Colburn, Esq., Downs Sanford P.C. - ModeratorEddy Canavan, Hudson Claims Consulting
Sheri Lawrence, SoCal Gas
Hiawatha Franks, TASB
Rafael Gonzalez, Esq., Cattie & Gonzalez
Vital Topics:
- Latest developments for Expedited Hearings (TD, MT, & MPN)
- Nailing Your Burden of Proof
- WCAB Forms for Every Situation
Overview:
Primary curriculum will include Workers' Compensation Appeals Board procedures, forms, and hearings, in addition to:
- Organizational structure of the system
- Concepts and terminology
- Notice requirements
- Investigation
- Medical terminology
- Medical evidence
Discussion:
- Priority Conferences (AOE/COE)
- Causation of Injury
- Latest developments for Expedited Hearings (TD, MT, & MPN)
- Nailing Your burden of proof
- Preparing proper legal pleadings to set the stage for success
- WCAB forms for every situation
- Case Law Update
- Is rebuttal of the DFEC still viable
- Are parties able to present a LeBoeuf scenario for consideration?
- Proving and rebutting causation of injury
- Checklist for substantial evidence
- Expedited Hearings
- Little known gotches in the New MPN Regs
- The MPN’s IMR is a totally different animal than the UR’s IMR
- Discovery Issues, Motions in Limine, Motions to Quash, Motions to Compel
- When to raise the Issue of Privilege
- Right of privacy – When does it apply
- Preparing successful Subpoenas for documents and witnesses
Pre-Requisite:
Complimentary access to the online course "Forming a New Paradigm: Sample Documents for Each Stage of the Process" will be provided to attendees of this class. The instructor will reference training points from the "Forming" online class. Please be sure to complete this training before "Insider’s Guide to the WCAB: Procedures, Forms & Hearings" commences on 6/20/15. Details about the pre-requisite training may be found here:
https://ww3.workcompcentral.com/education/course/course_pk/883
Level 2 - Advanced
About the Program:
WorkCompCentral is pleased to announce two levels of workers’ compensation certification programs for Hearing and Lien Representatives. These certifications, which will be recognized industry wide, have been created and are being administered by WorkCompCentral. These certifications are California specific.
Why Become Certified:
The training that we provide is comprehensive and systematic. After receiving the Hearing and Lien Representative Certifications, you will have a firm grasp and advanced understating of expectations, duties, and requirements of being a highly skilled workers’ compensation professional. Graduates will be able to effectively handle all types of cases in a professional, competent, and confident manner.
What to Expect:
Topics include general background and introductory information about workers’ compensation issues, including statutes and laws that govern the industry. You will be exposed to an extensive background and given specific details on what is required of a Hearing or Lien Representative, including litigation skills, recent case law, and a robust education in lien litigation.
Other Benefits:
WorkCompCentral will prominently display the names of all industry professionals who have earned a Hearing Representative or Lien Representative Certification. This will help potential employers identify those in the industry who have received extensive training.
Maintaining Certification:
To maintain your certification status and be featured on our website, WorkCompCentral requires individuals to complete 12 hours of continuing education per year. WorkCompCentral will monitor and keep track of certification renewal dates and issue notices informing the individual of their anniversary date. Topics can be selected from our online or live catalog.
Topics Covered (55 Credit Hours):
Advanced Lien Education (12 Credits)
- 2019 Liens Update, Los Angeles, 6 Credits
- Cost Petitions vs. Liens: A Workshop for Providers and Payers, 6 Credits
Advanced Hearing Representative Training (4 Credits)
- Advanced Hearing and Lien Rep Training, 4 Credits
Advanced Med Legal Issues (7.5 Credits)
- The Prosecution and Defense of Psychiatric Injuries, 6 Credits
- Cross Examing Medical Professionals: Basic Strategy and Principles, 1.5 Credits
Rating Instruction: (4 Credits)
- For What It's Worth: How to Rate and Value Your Case, 4 Credits
Advanced Litigation Skills Training (28 Credits)
- Uninsured Employers: Dealing with Cases Involving UE's, 6 Credits
- Catastrophic Injury: How to Maximize or Minimize Exposure, 4 Credits
- Advanced Litigation Skills: Pre-Trial, Discovery and MSC - Part (1/2), 6 Credits
- Advanced Litigation Skills: MSC, Trial and Appellate Process - Part (2/2), 6 Credits
- Prosecuting and Defending IMR/UR, Dubon Challenges, and the CA MTUS, 6 Credits
Learn the fundamentals of the new 2015 Copy Service Fee Schedule. Understand how things are defined, what services are bundled, and when services are not payable.
Who Should Attend:
This class is important for copy service professionals, bill reviewers, attorneys and claims professionals who deal with copy service fees.

A team of experts who have extensive knowledge and experience with the application of the AMA Guides 5th Edition will present specific guidance with use of examples to demonstrate the depth of knowledge attorneys, judges, and even some physicians need to have to provide accurate WPI ratings in workers’ compensation cases. This seminar will assist participants in understanding medical-legal issues, preparing for cross-examination of physicians, and how to understand complex WPI ratings using anatomic, diagnostic, and functional loss determinations.
Discussion:
- Common medical terminology that determines the location and importance of a diagnosis
- Specific application for injuries to the Spine, Shoulder, Knee, Cardiovascular System including the Heart, and other body systems or organs
- How to properly rate certain conditions, depending on accurate diagnostic criteria
- How a WCJ applies Blackledge vs. Bank of America (WCAB en banc decision) in formulating formal rating instructions
- Did you know that a “Mumford Procedure” is the same thing as a “distal clavicle resection arthroplasty?”
- Did you know that there is a scheduled WPI rating for it in Table 16-27?
- Did you know that Table 16-18 conflicts with Table 16-27 for the loss of the AC joint from a resection arthroplasty?
Overview:
Learning Objectives:
Upon completion, participants should have a better understanding of:- Current trends at the WCAB on apportionment and disability issues based on recent case law.
- Underutilized rating criteria in the Guides
- Significant mistakes in the Guides
- The intent of the Senior Editor and Chapter Chairs of the Guides regarding ambiguous and misunderstood issues, based on interviews with these doctors.
- The criteria relied on by AMEs and QMEs in determining AOE/COE and the impairment rating.
Instructor:
Kenneth Kingdon, Esq. - Kingdon Rating ServicesDavid DePaolo will moderate a discussion on the topic of Opioids based on a WorkCompCentral Special Report authored by Peter Rousmaniere. The report looks at how the workers’ compensation industry responded to the introduction and phenomenally wide use of powerful pain killers to treat injured workers, and is at a turning point in treating chronic pain.

1. The Twenty Year Crisis
Chronic pain is by far the most debilitating and for claims payers the most costly, compensable condition in workers’ compensation. This webinar discussion will cover how a flawed treatment strategy, using of drugs called opioids, has played havoc with patients, workers’ comp claims payers and regulators.
2. Expansion, Halt, Pull Back
The 1990s set in motion prescribed opioids’ deep penetration into general healthcare. Their presence in workers’ compensation was noted in the late 1990s. After 2005, researchers, claims payers and regulators began to push back, spawning many private and government initiatives. Opioid prescribing started to level off and then decline around 2010.
3. Reframing the Challenge
Claims payers need to bring their strategies for chronic pain into better balance. This includes addressing prevention as well as recovery, and embracing the full array of available interventions. Conservative care deserves being at the highest order of priority. Advances will require frank and accountable collaboration among parties, more than claims payers, managed care vendors and physicians practice today.
4. Case Studies and Wrap Up
We’ll take a look at several examples of successful models for changing the way chronic pain is managed.
Attendance:
- This webinar event is FREE to attend.
- Register into our webinar system using the link below, listed in "Access Instructions." A confirmation access link will be issued from GoToWebinar/CitrixOnline after your registration.
- Emails containing handout access instructions will be issued in the weeks prior to the event.
Access Instructions:
All attendees MUST self-register for the webinar
using this webinar broadcast registration link:
https://attendee.gotowebinar.com/register/5627042493022511618
Level 1
Prerequisite for Advanced Certification.
About the Program:
WorkCompCentral is pleased to announce two levels of workers’ compensation certification programs for Hearing and Lien Representatives. These certifications, which will be recognized industry wide, have been created and are being administered by WorkCompCentral. These certifications are California specific.
Why Become Certified:
The training that we provide is comprehensive and systematic. After receiving the Hearing and Lien Representative Certifications, you will have a firm grasp and advanced understating of expectations, duties, and requirements of being a highly skilled workers’ compensation professional. Graduates will be able to effectively handle all types of cases in a professional, competent, and confident manner.
What to Expect:
Topics include general background and introductory information about workers’ compensation issues, including statutes and laws that govern the industry. You will be exposed to an extensive background and given specific details on what is required of a Hearing or Lien Representative, including litigation skills, recent case law, and a robust education in lien litigation.
Other Benefits:
WorkCompCentral will prominently display the names of all industry professionals who have earned a Hearing Representative or Lien Representative Certification. This will help potential employers identify those in the industry who have received extensive training.
Maintaining Certification:
To maintain your certification status and be featured on our website, WorkCompCentral requires individuals to complete 12 hours of continuing education per year. WorkCompCentral will monitor and keep track of certification renewal dates and issue notices informing the individual of their anniversary date. Topics can be selected from our online or live catalog.
Topics Covered (59 Credit Hours):
General Workers’ Compensation Overview and Background (14 Credits)
- Introduction to the CA Work Comp System, 6 Credits
- Workers' Comp QuickStart Guide: Basics, History, Terms, Benefits, SJDB, 3 Credits
- Workers' Comp QuickStart Guide: Threshold Issues, 5 Credits
Hearing Representative Training (11 Credits)
- Framework Required for a Concrete Hearing Rep Foundation, 5 Credits
- Hearing and Lien Representative Fundamentals, 6 Credits
Lien Education (12 Credits)
- Lien Litigation: What You Need to Know in 2016, 6 Credits
- Annual Liens Update, 6 Credits
Med Legal Issues (4 Credits)
- Medical Information Every Lawyer and Judge Should Know, 4 Credits
Rating Instruction (6 Credits)
- 20201 Annual Rating Event, 4 Credits
Litigation Skills Training (12 Credits)
- Litigation Skills: Pre-Trial, Evidence and Depositions - Part (1/2), 6 Credits
- Litigation Skills: Conference, Trial and Post-Trial - Part (2/2), 6 Credits
Overview:
This course will explain the prevalence, pathophysiology, evaluation, and treatment recommendations of diabetic foot ulcers. Additionally, causation analysis will also be discussed.Learning Objectives:
Attendees can look to find the answers to these questions and more:- How do diabetic foot ulcers develop?
- What should the examination show?
- Treatments - what are the levels of evidence?
- How to determine causation?
Instructors:
Dr. Trang Nguyen - MedicusRXDr. David Randolph - MedicusRX

Mr. Alan Gurvey, the managing partner of Rowen, Gurvey & Win and renowned applicant attorney, serves as the moderator of a powerful and passionate panel of professionals, including attorneys, judges, a claims specialist, and a structure settlement specialist. You will learn important strategies to settle cases, and learn about the intricacies behind non-industrial credits and offsets, Medicare set-asides, and structure settlements. The panel will also discuss what should be included in Declarations of Readiness to Proceed, Stipulations and Issues, Compromise and Releases, and Stipulations with Request for Awards. Throughout the seminar, the panelists will focus on how to negotiate, not only with opposing counsel, but with your own client!
Discussion:
- The Risks and Advantages of Settling Early
- Cost/Benefit Analysis of Going on Trial
- When to File a DOR
- What is Mandatory at a Mandatory Settlement Conference
- Negotiations and Client Control
- The Settlement Documents: C&R's and Stipulations
- Credits and Offsets Against Against Workers' Compensation Settlements
- Medicare Set Asides and the Settlement Process
- Non-Medicare Medical Treatment and Services
- Structured Settlements and Complex Cases
Special Details:
Enroll in the series of three, for one price of $129:
https://www.workcompcentral.com/education/course/course_pk/1010
https://www.workcompcentral.com/education/course/course_pk/994
https://www.workcompcentral.com/education/course/course_pk/971
Call 805-484-0333x133 to receive this special offer.
Overview:
Intimidated by doctor's depositions? Do you have office staff who are new to cross examination? Or, are you a seasoned practitioner but still would appreciate some useful pointers from someone with a lot of experience? Mr. Wixen's entire practice is centered around medicine and cross examination. He works in both the workers' compensation and civil arena probably doing as many doctor's depositions as anyone in California. We have asked him to share basic strategy and principles in the art of cross examination. He always has something of interest to take away. This is a worthwhile opportunity for those on both sides of the aisle. Don't miss it.
Discussion:
- Considerations in assessing whether cross examination is appropriate
- Strategies for preparation of cross examinations
- Basic principles for any cross examination
About the Instructor:
Brad Wixen graduated from Loyola Law School in 1990 and has worked many years in workers compensation doing defense, applicant, and now with his own company offering cross examination and medical consultation. He has worked for Jacobs and Solomon, Stockwell, Harris, Hinden and Breslavsky, and now has over fifty different attorneys across the state who utilize his services. He speaks regularly for CAAA, and has also given seminars for the State Bar and at Pepperdine Law School.
Access Instructions:
Access instructions will be emailed to attendees and posted to this section in the weeks prior to the event.
Advanced Hearing and Lien Rep Training is a course designed for workers’ compensation professionals who have experience trying cases and negotiating at the WCAB. The course is more advanced and builds upon the February 25 course, “Hearing and Lien Representative Fundamentals.” All attendees to the advanced course will have online access to the recorded February 25 basic course.
Advanced Hearing and Lien Rep Training is instructed by three experienced and highly respected judges with a combined total of 68 years of judicial experience. The course is also of great benefit to attorneys, claims professionals, insurance professionals, and self-insureds as well.
Discussion:
- File and Litigation Preparation and Strategies
- Direct and Cross Examination
- Effective Depositions
- Expert Testimony
- How and When to Settle the Case (Or Not!)
- Defending and Prosecuting AOE/COE and Independent Contractor Issues
- Rating Your Case
- Petitions for Reconsideration/Removal
- Professional Standards of Conduct
- Liens: Filing, Statute of Limitations, Copy Service Regs and Fee Schedules
- Using EAMS to Your Advantage
Master an understanding of CA Work Comp impairment rating. Join Dr. John Alchemy, MD, QME, CIME, founder and CEO of RateFast (www.Rate-Fast.com) and Impairment Rating Specialists (www.pr4report.com), for an exclusive webinar on advances in CA impairment rating. Dr. Alchemy will discuss current challenges to the work comp stakeholders including doctors, insurance carriers and injured workers.
This webinar will explain how the creation of new cloud and mobile apps are now delivering more consistent and accurate impairment reports in California. This webinar is essential for any CA work comp professional who is interested in better understanding how medical impairment documentation is collected, organized and formulated for the daily processing of injury claims.
Learning Objectives:
1) Solutions for the most common source of errors in PR-4 Reports and QME impairment reports.
2) How to read impairment reports for missing data and accuracy.
3) Web based resources to assist doctors (PTP, QME, AME) create correct impairment reports the first time.
4) Web based resources to assist adjusters and attorneys assess correctness impairment reports.

Policy:
By registering for and attending this free event, you are permitting WorkCompCentral.com, Inc. to share your personal contact information with the trusted sponsors and presenters of this event. Upon request, you will be unenrolled fom the event, and your contact information will be removed from the list that is provided to the trusted sponsors and presenters. For more information, or to opt-out of this event, you must contact Jake Parres at 805-484-0333x133, or via email to jacob@workcompcentral.com.
Learn to leverage the quality of your reports and to improve your efficiency when performing or reviewing impairment evaluations. Enhance the quality and efficiency of your evaluations and reviews.
As a result of all these learning resources, you will be able to rate most commonly rated disorders, including spinal pain, upper-limb disorders (hand, wrist, elbow, shoulders, and entrapments), lower-limb disorders (foot/ankle, knee, and hip), nervous system disorders, and pain.
This training is designed for professionals involved in the use of the AMA Guides, including physicians and other healthcare providers, attorneys, claims professionals, and fact finders.
QME Continuing Education:
This course is currently in the process of being renewed by the DWC Medical Unit. It does NOT offer QME Continuing Education Credit hours at this time.
Presented by Suzanne Honor-Vangerov, Esq, CPC, CPC-I, CMSP
- Learn the difference between ICD-9 and ICD-10
- Understand how the codes work
- Learn the look-up methods
- Learn the coding rules
1. Facts to know about the Return to Work Fund/Benefit (RTWF or RTWB)
2. Important dates and deadlines to remember!
3. What do you and your client need to avoid delays?
4. Forms Required to file (before and after).
5. Changes since SB863.
Recommended Training Schedule Chronology
- Medical Treatment for Injured Workers (6 CE’s)
- The Real Do’s and Dont’s of Trial: From Discovery to Decision (4 CE’s)
- Cross Examining Medical Professionals (4 CE’s)
- Cumulative Trauma Litigation (6 CE’s)
- The Prosecution and Defense of Psychiatric Injuries (6 CE’s)
- Catastrophic Injury: How to Maximize or Minimize Exposure (6 CE’s)
- Prosecuting and Defending IMR/UR, Dubon Challenges, and the CA MTUS (6 Credits)
- Uninsured Employers: Dealing with Cases Involving UE’s (6 CE’s)
Robert Rassp, Esq. (author of “Lawyers Guide to the Guides”) and Judge Colleen Casey (former WCAB Commissioner) will cover every aspect of rating a whole person impairment. Mr. Rassp will cull out unique examples from each chapter of the guides to illustrate best litigation practices. Judge Casey will provide her updated Glossary of AMA Guides case law, including the most current trends in AMA Guides applications.
Vital Topics:
- Instructors will go chapter by chapter to explain hidden applications of the AMA Guides and to define proper methods and lingo for addressing the calculation of WPI
- AMA Guides Case Law Update
- How to take a doctor’s deposition regarding methodology of rating impairments
Discussion:
- Instructors will go chapter by chapter to explain hidden applications of the AMA Guides and to define proper methods and lingo for addressing the calculation of WPI
- Rating the Spine – DRE method v. ROM method
- How to spot a strict rating of the AMA Guides
- How to determine if an alternate rating is accurate
- Does Blackledge still set the standard for rating impairments
- AMA Guides Case Law Update
- How to take a doctor’s deposition regarding methodology of rating impairments
- Controversial rating methods will be explore, such as use of Figure 15-19
Agenda:
8:30 - 10:00
AMA Chapters 1, 2 & 15
- Philosophy of AMA Guides, and practical applications for rating spinal impairments (from Ch. 15)
- How to rate impairments “inside the 4 corners” of the Guides
- Practitioner checklist for medical reports and for doctor’s depo to ensure accurate rating.
10:15 - 11:15
AMA Chapters 3 - 12
- Basics & practical examples
- Includes “expert rating tips”
11:15 - 12:00
- Intro to Medical Terms and acronyms for PD rating
- What constitutes substantial evidence in PD cases
12:30 - 1:15
AMA Chapter 13
- Psych impairments
1:15 - 2:00
- Impact of SB863 on PD
- Psych, sleep and sex compensable consequences v. Direct injury and the “pain add-on"
- Rating for “head pain”
2:15 - 3:00
AMA Chapters 16 & 17
3:00 - 3:30
- Presenting PD ratings at MSC (LC 5502(d)(3) mandate) and required evidence at trial
This four hour seminar is an interactive educational program designed for primary treating physicians and specialists managing injured workers. The course is ideally suited for practicing medical providers, chiropractors and office management staff who want to better understand the basics of a work comp practice. This curriculum focuses on helping you building a successful and profitable workers’ compensation practice.
Discussion:
- General overview of workers’ compensation for medical providers
- Essential medical report writing
- Creating a medical claim management strategy
- Unlocking the confusion of the PR4 Report
- Fit for duty and return to work fee for service exams
- Handling QME reports on your patients
- Successful digitization of your practice
- The Final Frontier of Work Comp Telemedicine
From intake, case management, billing, collections, negotiations to preparing the cases for hearings and trials. Training will include any and all processes and workflows that practices have to follow or implement. The entire process plays a role in the outcome of the case at court.
Attendees will learn how to properly assess and qualify cases before sending them to the hearing representative. Many times, the value is depleted by the numerous negotiation attempts and board appearances. Training will also include the various systems used to track cases, and perspectives of the medical practice.
Discussion:
- Reporting and Treatment Costs
- UR / IMR
- MPN Disputes and Liability
- Early Lien Negotiation and Settlement
- Settlement Documents
- Lien Proceedings
- Discovery
- Document Service
- DOR
- Trial
- Exhibits
- Conference
- Medical / Legal
- Determination of Necessity
- Reimbursement Calculation
- IBR
- Bill Review Reports
- Court Decorum
Overview:
This online course prepares medical treaters to pass the Qualified Medical Evaluator Competency Exam. The exam is administered by the Division of Workers' Compensation. This material will include a survey of changes in the law governing QMEs who evaluate California injured workers as of Jan. 1, 2013. Therefore, QMEs in the system may want to consider this course for the SB 863 updates.
Becoming a QME
A Physician who desires to conduct examinations as a QME must meet certain requirements specified by the Medical Unit of the Division of Workers' Compensation. A QME is required to take a comprehensive written examination, and also he must complete a 12 hour course in report writing. The examination is given twice a year, in October and in April.
DWC Website:
Registration and Information for QME Exams:
http://www.dir.ca.gov/dwc/MedicalUnit/QME_page.html
Overview:
Workers' compensation defense attorney John P. Kamin will recap the highlights from this year's legislative session during this one-hour webinar. Kamin will also bring you up to date on the latest developments with the copy service fee schedule, the proposed interpreter and home health care fee schedules, and the Angelotti case.
WorkCompCentral Certification Students Attend for FREE!
Please call 805-484-0333x5 to receive this special offer.
Attendance:
This event is available in a recorded format to allow you to access and complete the training at your own pace. All training videos and handouts are available inside of the course. You will now have 6 full weeks to access the course, and to complete the training at your own pace, starting Friday. Please call support at 805-484-0333 if you have any questions about accessing your training.
You can view your course by logging in at https://ww3.workcompcentral.com/
1) Use your username and password to log in at the upper right-hand corner of the screen at ww3.workcompcentral.com
2) Hold your mouse cursor on the Education tab under the WorkCompCentral banner at the top of the page. Click on "MY COURSES" using the drop-down menu when your cursor is on the Education tab.
3) You will see the course title appear on the screen. Click on the "TAKE COURSE" button on the right side of the course title to be directed to the course page, where all of the course activities and audio / visual presentations will be listed. The activities are listed in sections or "modules." Each module is numbered and has a title. Activities, articles, and presentations are listed in the module. Run your cursor over the activity headings and you will be able to click them to access the information or presentation.
WorkCompCentral has partnered with Sue Honor to develop a fresh and comprehensive training series that meets state requirements for workers' compensation bill review. Sue is the former manager of the California DWC Medical Unit.
Whether you are a California-based bill review company or out of state, California Code of Regulations mandates this level of training to process medical bills for injured workers.
Students who complete all of the coursework will meet the California Department of Insurance requirements laid out in Title 10, 2592.04 of the California Code of Regulations governing bill review professionals.
Curriculum Includes:
- Coding and Fee Basics
- Workers' Compensation Overview
- Utilization Review (UR)
- Medical Provider Networks (MPN)
- Medical Treatment Utilization Schedule (MTUS)
- Independent Medical Review (IMR)
- Medical Billing Standards
- Electronic Billing
- Anatomy
- Medical Reporting
- Independent Bill Review (IBR) and Non-IBR Disputes
- Advanced Coding: CPT, HCPCS, ICD-9 and 10, DRG, APC, NDC
- Physician's Services (pre-2014)
- Physician's Services (effective 2014)
- Official Medical Fee Schedule (OMFS)
- Clinical Laboratory and DMEPOS
- Pharmacy
- Inpatient and Outpatient Facilities
- Medical-Legal Fee Schedule
- Anesthesia and Ambulance Services
- Copy Service Fee Schedule
- Interpreter Fees
- ICD-10
Who Should Enroll:
California Workers' Comp Claims Adjusters, Medical-Only Adjusters, Paralegals, Billing and Collection Agents, Medical Offices, Law Firms, Self-Insureds, Program Manager or Claims Consultants. Attorneys may earn 40 CE hours toward licensure with the California Bar by enrolling and completing the training.
Overview:
This program offers expert instruction and advice on rating, while providing the students with the upper hand in everyday issues with your cases. Students will walk away with an understanding of how to deal with permanent disability issues, rating instructions, formal ratings, and how to cross-examine the rater. In addition, students will find out what a Judge is looking for when deciding a rating issue.Program Learning Objectives:
- - 2023 Rating and apportionment case law update
- - Significant mistakes in the AMA Guides, 5thEd.
- - Currently underutilized issues in the AMA Guides, 5thEd.
- - Anatomy of a medical report – What is substantial evidence in 2023?
- - What currently makes a vocational expert report substantial evidence?
- - Common mistakes doctors are making in their reports
- - Cross-examination of medical experts and vocational experts
- - Pandemic and post-pandemic medical evaluation, doctor deposition, and hearing issues
- - Chapters 1 and 2 of the AMA Guides, 5th Ed. and Almaraz/Guzman ratings
- - Disability vs. impairment
- - Fitzpatrickand 100% PD awards “according to fact” per Section 4662(b)
- - Adding versus combining impairments
- - Apportionment: 4662(a), 4662(b), 4663, 4664 Hikida,Justice, and “vocational apportionment”
- - Developing the record before and after trial on permanent disability issues
- - Rating instructions, formal ratings, and how to cross-examine the rater
- - What a judge is looking for when deciding a rating issue
- - Discussion ofthe en banc Nunes decision and how to use it with vocational experts.
Instructors:
Hon. Clint FeddersenHon. Robert Rassp
Hon. William Carero
Kenneth Kingdon, Esq.
Allan Fensten, Esq.
This training will address advanced permanent disability issues involving major orthopedic and non-orthopedic injuries. Instruction will also include a discussion of Almaraz-Guzman based alternative ratings and a case law review of controversial rating methods. The panel will also discuss major orthopedic rating methods, major non-orthopedic rating methods, Almaraz-Guzman and case law review of controversial rating topics.
Discussion:
- Robert McLaughlin
Lesser-Known Facts About AMA Ratings
- Mark Kremer
Advanced Disability Rating of Common Orthopedic Injuries
Advanced Disability Rating of Common Non-Orthopedic Injuries
- Brenna Hampton
Law of Almaraz-Guzman
- Judge Linda Atcherly
Rating from the Judge’s Perspective
- Kenneth Kingdon
Current Events in Rating / Case Law Update
- Other Topics to Include:
Dahl Case
Advanced Theory in Rating Outside the AMA Guides
Special Pricing for Adjusters:
Call 805-484-0333 for Special Adjuster Pricing.
Verification of Adjuster employment status is required.

Vital Topics:
- What is an Injury? Is the Injury Industrial?
- Traps for the Unwary in the UR and IMR Regulations
- An In-Depth Exploration of the New MTUS Regs Effective 4/20/2015
Bonus:
A Special Added Presentation of "Medical Information Every Lawyer and Judge Should Know"
Overview:
- What is an injury?
- Is the injury industrial?
- How are MT options determined?
- Facing the challenges of meeting obscure regulation requirements and deadlines
- An indepth exploration of the New MTUS regs effective 4/20/2015
- What are the sole two instances when MT requests may be authorized based on standards other than the MTUS?
- When is the presumption of correctness of the MTUS rebutted?
- What is the hierarchy of evidence and how should it be applied?
- How to secure medical reports and depositions that constitutes substantial evidence
- Case studies under the UR and IMR process. What works and what needs to be improved?
- Traps for the unwary in the UR and IMR regulations
Suzanne Honor-Vangerov, CPC, CPC-I, CMSP presents!
Effective January 1, 2016 every reimbursement amount changes in the Physician's Fee Schedule. Attend Sue Honor's webinar broadcast to understand these widespread changes. Time for Q&A with Sue Honor will be provided.
Discussion:
- New details of the 2016 changes
- New Conversion Factors
- New Geographic Adjustment Factors
- Q&A on physician fee issues
Musculoskeletal injuries constitute the majority of industrial claims. Claims professionals will review many medical reports written by physicians who report their findings as they treat and evaluate injured workers. This course will give you the medical framework required to properly understand these reports.
The instructors are three physicians from the Parthenia Medical Group who have experience examining and treating industrial claims. Michael J. Sachs, D.O, Assistant Professor of Medicine, Western University will discuss Medical Imaging and a second topic, Knee Anatomy, Injuries and Treatment. Bruce Hector, M.D. will present the subject of Spine Anatomy, Injuries and Treatment. Thomas Hascall, M.D. presents the topics of Carpal Tunnel Syndrome, Anatomy and Treatment and also Shoulder Anatomy, Injuries and Treatment.
10 C.C.R 2592.03(a) Adjuster Topics Covered:
17. Medical Terminology
19. Medical Evidence
10 C.C.R 2592.04 Bill Reviewer Topics Covered:
5. Medical Terminology
7. Medical Evidence
The claims professional is the decision maker with respect to compensability of any claimed injury, and with respect to the benefits that are to be voluntarily paid. These decisions will be based in part upon the results of a claim investigation. Most claims department professionals will be involved in some manner with this process, either investigating the claim themselves, or referring the matter out to private outside investigators are the appropriate time. The investigation becomes the centerpiece of claim activity and the legacy you will leave in your file. This course will help you learn how to properly investigate a claim of industrial injury.
10 C.C.R 2592.03(a) Adjuster Topics Covered:
15. Investigation
16. Fraud
10 C.C.R 2592.04 Bill Reviewer Topics Covered:
4. Fraud
Mandatory Completion Time:
The allotted time for completing this entire course is 6 weeks. Please monitor your time to complete the course and materials within this assigned time frame.
Employers are required to "secure the payment of compensation" or they are illegally uninsured. They may meet this obligation by purchasing a policy of insurance from a private carrier, or from the State Compensation Insurance Fund, or they may be permissibly self insured. The insurance claims professional will at times be required to determine coverage issues including insurance policy provisions. This will require that the claims professional have an understanding of policy terms, inclusions and exclusions, and other language contained in the policy. You will also learn how rates for insurance are established, and the role of the WCIRB in the insurance rating process. At times carriers may become insolvent, and when this occurs, the obligations are take over by the California Insurance Guarantee Association.
There has been an unprecedented number of carrier bankruptcies in the past decade, and CIGA has become a prominent entity in the litigation of claims. You will learn about the evolving law of CIGA liability, and the limits that have been established in recent decisions. This course will thus cover the basics of insurance and insurance policies, and other methods for employers to secure the payment of compensation benefits for the employees.
The WC Insurance Policy and Endorsements course will cover topics such as:
-Underwriting overview
-The WCIRB (Workers' Compensation Insurance Rating Bureau)
-Securing Compensation in California
-TPAs (Third Party Administrators)
-Insurance Carriers
-Self Insurance
-Carrier Insolvency and CIG
10 C.C.R 2592.03(a) Adjuster Topics Covered:
3. The Workers' Compensation Insurance Policy, it's Forms and Endorsements, Insurance Principles of Compensation
Mandatory Completion Time:
The allotted time for completing this entire course is 6 weeks. Please monitor your time to complete the course and materials within this assigned time frame.
Difficulty Level:
Basic - Intermediate
- What is the Burden of Proof on Causation of Disability?
- The Ultimate Checklist for Handling a Guzman Rebuttal Case
- Unique Case Law Dealing with Quirky Apportionment Issues
Overview:
- What is the burden of Proof on causation of disability?
- The ultimate checklist for handling a Guzman rebuttal case
- Is rebuttal of the DFEC still viable?
- Are parties able to present a LeBoeuf scenario for consideration?
- What is the best method for presenting a LC 4662 case?
- Does the conclusive presumption bar all apportionment under LC 4662?
- When and how is it possible to challenge the Combined Values Chart
- How to rate medical conditions that are not in the AMA Guides
- Unique case law dealing with quirky apportionment issues
- Emergency service personnel presumptions. What are they and how do they effect WPI and apportionment?
- What is overlap and can it ever be proven?
- The special nuances of rating a psych injury
Suzanne Honor-Vangerov, CPC, CPC-I, CMSP presents this 2016 Clinical Lab and Drug Test Fee Schedule Update via webinar. Critical updates, vital solutions and time for Q&A will be provided.
Discussion:
- Important changes to drug testing coding
- New definitions
- Changes to the payment level
- Detailed understanding of all the changes
With a few exceptions, most attorneys who are actively practicing law in California must take 25 hours of MCLE every three years and file a report with the State Bar. On and after January 1, 2022, while all attorneys will still be required to complete 25 hours of MCLE every three years, the total hours must now include no less than seven hours as follows:
- At least four hours of legal ethics.
- At least two hours dealing with the elimination of bias. Of the two hours, at least one hour must focus on implicit bias and the promotion of bias-reducing strategies.
- At least one hour of education addressing competence issues.
This program provides seven hours of “Special Requirement” training within the 25 hours of total MCLE credit required for the California State Bar education needs of attorneys.
Learning Objectives:
This webinar will help assist all practicing attorneys in the following ways:
- Understand from a survey of cases detailing unethical behavior from attorneys in the workers’ compensation community how to avoid committing similar behavior in his or her own practice.
- Identify and resolve ethical dilemmas that arise in the representation of applicants (especially those in the Hispanic community with potential cross-over immigration issues).
- Identify and resolve ethical dilemmas that arise in the representation of defendants and conflicts of interest that arise with employers.
- Understand how certified Spanish interpreters are an essential component in the workers’ compensation system and prevent bias against applicants with limited English proficiency.
- Learn how alcohol, substance abuse, and mental illness affect the mind and how it impairs an attorney's ability to perform competent legal services.
WCJ David. L. Pollak - Van Nuys WCAB
PWCJ Robert G. Rassp - Los Angeles WCAB
Frank Christine, III, Esq. - Defendant's attorney from Tobin Lucks, LLP
Néstor Wagner - Founder and Director of Education for the Southern California School of Interpretation, Inc.
Amanda Deering White - Shareholder from Invictus Law, P.C.
Presented by Suzanne Honor-Vangerov, Esq, CPC, CPC-I, CMSP, and co-instructed by Gladys Ross, CPC, CCS-P, ACS-EM.
Training includes a bonus free pre-requisite Basics online course. Emphasis will be placed on coding for particular medical specialties, body systems and types of injury or illness.
Main topics include ICD-10, Documentation, Procedure Coding. The course will use real live case studies as examples. The presentation will teach you how to improve the bottom line with ICD-10 reporting and proper documentation.
ICD-10 regulations have been posted online here:
http://www.dir.ca.gov/dwc/DWCPropRegs/ICD-10/ICD-10.htm
Discussion:
- Eye
- Ear
- Skin
- Subcutaneous Tissue
- Nervous System
- Digestive System
- Circulatory System
- Respiratory System
- Genitourinary System
- Musculoskeletal System
- Blood Diseases
- Infectious Diseases
- Neoplasms (Cancer)
- Endocrine and Metabolic Diseases
- Injury: Poisoning and External Causes
- Symptoms, Signs and Abnormal Findings
- Mental, Behavioral and Neurodevelopmental Disorders
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Overview:
First Responders experience daily exposure to traumatic events that, over months and years, accumulate and are known to result in post-traumatic stress disorder (PTSD), depression, traumatic brain injury, substance abuse, chronic pain, and insomnia. Although they spend their careers helping others, this group of workers are often reluctant to ask for help and when they do, their conditions are often not well understood.
This session highlights the successes of a unique partnership between City of San Diego and Institutes of Health, a company specializing in the delivery of biopsychosocial care. Panelists will underscore the importance of your role as a partner in public safety by enhancing your understanding about the inherent risks to public safety personnel, current vulnerabilities they face, and learning about best evidence-based practices that allow for improving clinical outcomes and accelerating MMI.
Our expert panel includes important perspectives from risk management, law enforcement, fire-rescue, as well as medical perspectives. They will discuss the essential components of public safety wellness programs and evidenced-based treatment protocols for first responders that can support career longevity, overall improvement in the quality of life and an overall decrease in the cost of claims.
Program Learning Objectives:
- What is the biopsychosocial model of care and how it is used in the City of San Diego Workers’ Compensation program
- Why cultural competency is critical to success
- Importance of partnership among stakeholders
- Positive outcomes of San Diego’s program
Instructors:
Yvonne Guibert - VP, Education Strategy | Institutes of HealthJoseph Sousa - WC Program Manager | City of San Diego
David Picone - Battalion Chief | San Diego Fire Rescue
Michael Branch - Director, First Responder Clinic | Institutes of Health
Dr. Kimberely Tilley, PsyD - Sr. VP, Clinical Administration | Institutes of Health
Overview:
This presentation aims to explain the concept and importance of evidence-based medicine (EBM) in managing workplace injuries. Troy Prevot, Director of Strategic Solutions from ODG by MCG, will cover how EBM is defined, and how evidence is categorized into a hierarchy that’s helpful in critical appraisal.
Mr. Prevot will explore the benefits and challenges and how capturing evidence into a clinical practice guideline allows for easier discovery and application. The presentation will end with an overview of additional tools and analytics that are incorporated into workers’ compensation, disability, and auto injury scenarios.
Program Learning Objectives:
1. Identify the role and significance of evidence-based medicine in managing workplace injuries
2. Compare the relative value of different types of evidence through critical appraisal
3. Describe how evidence-based medicine can be applied to critical appraisal through the use of clinical practice guidelines
Instructor:
Troy J. Prevot, MBA, PA-C, ATC - Director of Strategic Solutions at ODG by MCG
Overview:
Program Learning Objectives:
- Debunking Myths: Identifying and debunking common myths and misconceptions about brain injuries, including diagnostic difficulties, the often subtle or overlooked symptoms, and the vital importance of early and appropriate treatment to avert long-term disabilities and enhance recovery chances.
- The Impact of TBIs: Addressing the significant physical and mental health challenges posed by TBIs and how brain injuries impact the lives of injured workers.
- Advocating for Transdisciplinary Care: Understanding the importance of a transdisciplinary approach to TBI treatment will be a focal point, illustrating how integrating various healthcare disciplines can significantly improve recovery processes and outcomes for those suffering from TBIs.
- Practical Insights and Strategies: Gaining valuable insights into effective strategies for managing TBI cases within the workers' compensation system, with practical guidance on achieving successful patient outcomes.
Instructors:
Moderator - Yvonne Guibert - Institutes of HealthDr. Crystal Cobos, DPT, CBIS - Institutes of Health
Dr. Joseph Tessler, DO - Institutes of Health
Jemelie Koda, MS, CCC - Institutes of Health
Dr. Evelyn Vasquez, PsyD - Institutes of Health
Presented in Partnership with
Adelson, Testan, Brundo, Novell & Jimenez
Overview:
The course content is developed and directed towards California claims professionals and attorneys specializing in Workers' Compensation Law. Knowledgeble and well respected judges, attorneys and claims professionals will address the most current topics and issues confronting claims administrators, medical providers, attorneys and others involved in workers' compensation. This seminar promotes adjuster-required continuing education, as this seminar meets the criteria established by the California Department of Insurance. Attorneys in attendance also receive MCLE continuing educaiton. Curriculum will include:
- Judicial Litigation Tips
+ Death Benefits
+ Penalties
+ Sanctions
+ Other Remedies
- Ethics
- Claims Handling
- Subrogation
- Settlements
- Arbitration
- Mediation
- Carve-Out Programs
- Statute of Limitations
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Overview:
A catastrophic claim does not happen often, thank goodness; it accounts for less than 1% of all the WC claims. But when it happens, it takes only one case to break your bank account, which could potentially cause an employer to lose their business or spend millions in direct and indirect medical costs, disability benefits, and lifetime care management. This session will examine some of the complexity of managing a catastrophic claim and its impact and review specific considerations with some of the common catastrophic injuries.Course Relevance:
Early recognition and provision of care are critical in the claims management process when a catastrophic injury occurs. A great deal of volatility is involved depending on the type and severity of the injury, duration of treatment, degree of recovery, and other factors such as inflation, future medical advances, and potential secondary complications. Attendees will gain greater insight into the intricate management of a catastrophic claim and recognize its impact on all stakeholders involved. Attendees will also benefit from recognizing some of the unique concerns of the various injuries and the added value in catastrophic case management services to claims management.Learning Objectives:
- Identify the various definitions of catastrophic injuries.
- Recognize claims and employer implications when managing a CAT claim.
- Recognize the value of catastrophic case management and its process.
- Discuss specific injuries and unique claims management considerations.
Instructor:
Angie Jung, RN, BSN, CRRN, CCMThe California non-attorney Hearing Representative and Lien Representative is required to know how to prepare for and litigate a workers’ compensation case or lien claim before a WCAB Judge. This engaging, six hour seminar will instruct Hearing Reps and Lien Reps in the fundamentals about a work comp claim - from injury to opening a case, pre-trial issues, mandatory settlement conferences, and settlement of cases.
Discussion:
- Hiring, training and duties of the Hearing Rep
- Prosecuting and defending a work comp case from beginning to end
- Ethics of the Applicant and Applicant Hearing Rep
- Intake and laying the case foundation
- Communicating with the applicant: health, job, ability to return to work
- EAMS and document preparation
- Client income, temporary disability, and child support issues
- Use of exhibits and identifying and limiting exhibitions
- Professionalism and preparedness
- Dealing with treatment issues and the MPN
- Walkthroughs
- Good faith effort to solve liens
- Dealing with opposing Hearing Reps
- Initial file defense and review; creating a case game plan
- Letters to clients
- Accepted injury; disputed body parts
- Treating out of the MPN
- Settlements and board negotiations
- Adequacy issues
- Subpoenas, medical reports, and medical records
- Preparing for the Mandatory Settlement Conference
- Trial do’s and dont’s
- Stips and issues and discovery
- MMI - Maximum Medical Improvement
- Discrimination against work comp filers
- Supplemental job displacement benefits/vouchers; social security disability; permanent disability, whole person impairment
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Enroll in the series of three, for one price of $129:
https://www.workcompcentral.com/education/course/course_pk/1010
https://www.workcompcentral.com/education/course/course_pk/994
https://www.workcompcentral.com/education/course/course_pk/971
Call 805-484-0333x133 to receive this special offer.
Overview:
This training is Part 1 to the June 17 seminar in Glendale, "Advanced Skills for Cross Examining Psychs," located HERE.
We have put together two masters in cross-examination and medicine for a half day seminar in which the attendees are sure to learn new and very practical information. The seminar is geared to be objective and is meant for both physicians as well as applicant and defense attorneys.
Attorney Brad Wixen is known across the state specializing entirely in medical cross-examination. Likewise, Dr. Steven Feinberg is one of the most knowledgeable and simultaneously articulate physicians in the system.
Be sure to take the opportunity to hear these two speakers discuss the gamut of issues from questions asked by attorneys in initial letters and for supplemental reports, physician report writing, and for both the attorney and the doctor, how to best prepare for and engage in deposition cross-examination testimony.
The speakers will also provide information regarding how to ask and respond to questions regarding soft tissue injuries and chronic pain conditions when the objective findings do not match up with the disability and activity of daily living. The speakers will discuss malingering, symptom magnification and issues of credibility.
Discussion:
- Questions asked by attorneys in initial letters and for supplemental reports
- Physician report writing
- How to best prepare for and engage in deposition cross-examination testimony
- How to ask and respond to questions
- Malingering, symptom magnification and issues of credibility
- Learn more about how to look at an MRI other than to note the size of a disk
- Learn about radiculopathy - often key to any injury case
- Understand the gamut of pain disorders - important when looking at a soft tissue claim with residual chronic pain
- Understanding the medicine and the questions to ask
- Soft tissue and it's ramifications
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Overview:
Institutes of Health is proud to present a 2-part webinar series to help raise awareness of PTSD in conjunction with PTSD Awareness Month during the month of June. In Part 1, our educational webinar aims to deepen the understanding of post-traumatic stress disorder (PTSD) among workers' compensation professionals, highlighting the unique challenges faced by first responders. PTSD, a critical issue within this demographic due to their high-risk occupations, manifests uniquely and requires specialized knowledge to manage effectively within the workers' compensation framework.
Led by a diverse panel of experts, including Deanna Dotta, Alcohol and Substance Abuse Program Coordinator with San Diego Police, Dr. Ramsey Ali, Licensed Clinical Psychologist and PTSD Clinical Lead at Institutes of Health, Sarah Creighton, a retired assistant police chief now Director of Law Enforcement Services at Institutes of Health, and Paul Alvernaz, Retired Fire Captain with San Diego Fire, the webinar will begin by explaining what PTSD is and its variations such as PTS and complex PTSD. It will emphasize the clinical and behavioral signs that stakeholders need to recognize.
The panel will kick off with a comprehensive 10-15 minute exploration into the definition of PTSD and its variations, shedding light on differentiating between PTSD and stress/anxiety issues. Moreover, we will address the pervasive stigma surrounding PTSD, particularly in first responder communities, where fear of job loss often deters individuals from seeking timely treatment, leading to significant delays and exacerbation of symptoms. Drawing from their rich expertise and lived experiences, our esteemed panelists will provide invaluable insights during this crucial discussion.
Next, the panel will transition into an in-depth examination of the key issues related to PTSD for First Responders, meticulously identified to raise awareness and foster understanding within the workers' compensation community. These key issues encapsulate the myriad challenges faced by first responders grappling with PTSD, ranging from legal intricacies and regulatory frameworks to the impact on workplace functioning, family dynamics, and long-term support needs.
Learning Objectives:
-
Define PTSD and Its Variations:
- Gain a clear understanding of PTSD, its variations, and the distinctive characteristics that differentiate it from stress and anxiety disorders.
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Address Stigma and Reporting Barriers:
- Explore the pervasive stigma surrounding PTSD, especially in first responder contexts, and understand the barriers that impede individuals from seeking timely treatment due to fear of job repercussions.
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Examine Perspectives and Experiences:
- Hear from our panel of experts as they share their unique perspectives and lived experiences, providing valuable insights into the realities of PTSD within the first responder community.
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Identify Key Issues Related to PTSD:
- Delve into the key issues related to PTSD for first responders, including legal considerations, comorbidities, workplace impacts, and long-term support needs.
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Raise Awareness and Foster Understanding:
- Increase awareness and understanding within the workers' compensation community regarding the complexities and challenges associated with PTSD among first responders, ultimately fostering a more supportive and informed approach to addressing these critical issues.
Instructors:
Yvonne Guibert (Moderator) - VP, Education Strategy - Institutes of HealthDeanna Dotta - Alcohol & Substance Abuse Program Coordinator - San Diego Police
Sarah Creighton - Retired Assistant Police Chief, San Diego Police - Institutes of Health
Dr. Ramsey Ali - Clinical Psychologist / PTSD Clinical Lead - Institutes of Health
Paul Alvernaz - Retired Fire Captain - San Diego Fire
This training is Part 2 to, "Cross Examining Medical Professionals," located HERE.
Please join Brad Wixen, expert in cross-examination, and Mark Levine PhD, QME/AME psychologist and neuropsychologist, for this special opportunity.
This is an advanced hands-on half day seminar on cross examination of the psychologist and psychiatrist. Those attending will be guaranteed useful information to take away. The educational material will be informative, objective, and useful for both parties of a claim.
Understand the most common psychological testing techniques and what they really mean. Learn where to look for evidence concerning credibility. Learn how to apply this understanding to cross-examination of the doctor useful for either side of the aisle.
This will be an in-depth analysis of several cutting-edge legal issues unique to psychology in today’s Worker’s Compensation world. Topics will include “pass-through apportionment”, what are the rules for psychologically induced impairment in other specialties, apportionment to risk factors, and Almaraz Guzman as it applies to psychology.
Included is an overview of pain disorders, how to rate them, and whether there is a neurologic crossover.
Discussion:
- How to tell if the testing justifies the conclusions
- Where does one look for evidence of pre-existing pathology?
- Is apportionment to personality factors legal?
- What is a pain disorder and how should it be rated?
- How can I look at the MMPI and understand better what the results really are?
- How can a psychologist make findings about credibility?
- What is the relationship between pain and neurology?
- What is a catastrophic injury?
- What makes a psych injury catastrophic?
Credits:
This course qualifies for "Participatory" educational credit hours in California.
This all day program is devoted to legal and medical-legal issues that defense attorneys are confronted with in every day practice.
Discussion:
- Cross Examining Medical Professionals
- Cumulative Trauma Litigation
- How to communicate with medical professionals including treating, AME, and PQME physicians
- When and how to write advocacy letters
- How to cross-examine a physician – to rehab or to reject?
- Things about workers’ comp that doctors do not understand
- What is a rating string?
- Case outcomes
- Causation of injury vs. causation of disability
- Apportionment
- When to apply and when not to apply Almaraz-Guzman
- Ex-parte communications with physicians and the scope of Labor Code Section 4062.3
- How to defend against a cumulative trauma claim
- What is “injurious exposure” anyway?
- What can you do when you are at the business end of a Petition for Contribution?
- Questions and Answers
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Overview:
In this webinar, panelists delve into the unique challenges faced by first responders battling Post Traumatic Stress Disorder (PTSD) within the workers' compensation system. From understanding the nuances of PTSD distinctions to the vital need for early intervention for first responders with these injuries, we'll explore the critical need for tailored care for these brave individuals serving and protecting our communities. Learn the value of intensive outpatient programs (IOPs) and their transformative impact on reducing disability levels. Discover strategies for streamlining treatment processes and ensuring timely access to essential care. Discover how gold standard IOPs not only lead to better outcomes but also can reduce healthcare costs and utilization. We'll also get insights from City of San Diego’s outcomes, looking at the remarkable outcomes they have achieved over the past decade. Join us for this informative webinar to better understand and advocate for men and women who courageously serve on the front lines.Learning Objectives:
- Understand the distinction between PTSD and complex PTSD, particularly as it pertains to the unique experiences of first responders.
- Identify the challenges and limitations within the workers' compensation system that hinder effective diagnosis and treatment of PTSD among first responders.
- Explore the benefits of early intervention, particularly the significance of intensive outpatient programs (IOPs), in mitigating disability and facilitating successful return-to-work outcomes.
- Gain insight into the importance of accurate diagnosis and treatment differentiation between stress-related claims and genuine PTSD cases.
- Learn practical strategies for streamlining treatment processes, avoiding delays or denials of care, and fostering collaboration among stakeholders to better support first responders navigating PTSD in the workers' compensation system.
Instructors:
Yvonne Guibert (Moderator) - VP of Education Strategy, Institutes of Health
Joseph Sousa - Workers' Compensation Program Manager, City of San Diego
Dr. Kimberely Tilley, PsyD - VP of Clinical Administration, Institutes of Health
Michael Branch - Director of the First Responder Clinic, Institutes of Health
Deanna Dotta - Alcohol & Substance Abuse Program Coordinator, San Diego PD
The WCAB has repeatedly made it clear that a lien claimant has the burden to prove all the necessary elements before it may recover anything in connection with its lien. A lien claimant now stands in the shoes of the injured worker with respect to all those responsibilities. As a result of this and amended Board Rules, lien litigation now mandates that lien representatives change their business model away from merely being collection agents.
In addition, while medical-legal providers may no longer be considered lien claimants and are exempted from paying filing fees, they now must face new and difficult logistical challenges related to getting their bills paid by defendants.
Discussion:
- When to file a lien and when to file a petition for costs
- Which liens are exempted from the $150.00 filing fee
- How to properly notify the WCAB of who represents the lien claimant
- Issues related to statute of limitations for filing of liens
- Issues related to licensing, accreditation and fictitious name permit for lien claimant
- Issues related to assignment of lien claimant’s right to collect
- Issues related to non-physician lien claimant’s restrictions on access to medical information
- How to ensure that the medical evidence from the lien claimant establishes both injury AOE/COE and reasonableness of the medical treatment
- Issues related to home health care liens
- How to ensure that the lien claimant can meet its burden of establishing the reasonableness of the medical charges
- How Labor Code § 5811 can be used to pay for litigation costs incurred in lien collection
- How and when to request independent bill review
- How to establish reasonableness of charges not subject to the Official Medical Fee Schedule
- How to assess and calculate penalties and interest owed to the lien claimant for unreasonably delayed payment to the lien claimant
- Issues relating to lien procedures and duty to attend lien conferences and lien trials
- Issues relating to dismissal of liens for failure to prosecute
- Issues relating to sanctions
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. David L. Pollak
Van Nuys Workers’ Compensation Administrative Law Judge
Hon. Myrle Petty
San Bernardino Workers’ Compensation Administrative Law Judge
Hon. Eileen O'Kane
Los Angeles Workers' Compensation Administrative Law Judge
Theodore Durden
Hearing Representative for Durden & Associates
Steve Hoffman
Hearing Representative
Overview:
Join HIRMA/WorkCompCentral for a one-hour webinar as we explore the Summer 2024 Legislative Outlook in Workers Compensation. This webinar aims to provide participants with a understanding of the legislative changes and trends that will shape the workers' compensation landscape during the summer of 2024.Learning Overview:
- Current State of Workers Compensation
- Legislative Changes and Proposals
- Explore the upcoming legislative changes and proposals affecting workers' compensation.
- Analyze the potential impact of these changes on various stakeholders.
- Discuss the rationale behind these proposed changes and their potential benefits or drawbacks.
- Summer 2024 Outlook in Workers Compensation
- Examine the specific outlook for workers' compensation during the summer of 2024.
- Discuss anticipated trends, challenges, and opportunities in the industry.
- Highlight key factors that will shape the workers' compensation landscape during this period.
- Q&A Session
Don't miss this opportunity to gain valuable insights into the Summer 2024 Legislative Outlook and what the summer holds for workers' compensation. Register now to secure your spot and stay informed about the upcoming changes and trends in the industry.
Instructors:
Kristen Chavez (Moderator) - Gallagher BassettHon. Clint Feddersen - Van Nuys WCAB
Amanda Deering White - Invictus Law
Michael McKernan - Murphy, Beane, & McKernan
Michael Simmons, ARM, RIMS-CRMP - WKS Restaurant Group
Join us for this half-day event on trial techniques and skills, covering the entirety of a trial from discovery to decision. The expert panel of instructors will discuss the most vital topics, including medical necessity, medical treatment, body parts, issues with doctors' depositions, plus stipulations and issues matters including detailed discussions on the binding agreement.
Discussion:
Applicants Deposition
- Timing
- Purpose
Employers Deposition
Cross Exam of Doctor by Deposition
- Admonition and waiver
Collection of Records
- ISO report
- Prior claims
- Employment application
- Prior employment records
Service of Documents
- Medical reports
- Records
- Sub-Rosa
Mandatory Settlement Conference
- Be ready to try your case at MSC
Trial
- How to attach and defend a medical report
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Overview:
This webinar aims to provide workers’ compensation stakeholders with a comprehensive understanding of the impact of chronicity in chronic pain conditions, traumatic brain injuries (TBI) and Post Traumatic Stress (PTS) injuries through the lens of the biopsychosocial model. Participants will gain a better understanding of chronicity, its impact on recovery, and how it affects these complex conditions and prolongs disability. The discussion will highlight the importance of viewing and treating these conditions as chronic rather than acute/subacute issues and integrating evidence-based biopsychosocial approaches in treatment to achieve better outcomes within the workers’ compensation system.
Learning Objectives:
- Define chronicity and its characteristics, including how it impacts the disease course and prolongs medical dependence.
- Understand the statistical prevalence of chronic issues related to chronic pain, mild to moderate TBIs and PTSD.
- Explain the biopsychosocial model and its application in chronic health conditions.
- Recognize how chronicity interferes with recovery and impacts the long-term management of these conditions.
- Identify key elements of successful treatment, emphasizing resiliency, self-efficacy, and self-management.
Instructors:
Yvonne Guibert (Moderator) - VP, Education Strategy - Instittues of HealthDr. Gabe Dawson - Sr. VP of Systems, Analytics and Compliance - Instittues of Health
Lorimer Moseley, DSc PhD FACP - Director of Pain Education - Institutes of Health
Dr. Heechin Chae - Medical Director of IOH and Sr. Mentor of the IOH Academy
This course is primarily suited for Illinois workers’ compensation insurers, claims handlers and employers. It will focus on the current makeup and disposition of the Illinois Workers’ Compensation Commission in 2016. There were amendments to the Illinois Workers’ Compensation Act in 2011. Did these changes result in any meaningful improvements to Illinois Workers’ Compensation Commission practice? Did these changes result in more fair and reasonable evidence based decision making by the Illinois Workers’ Compensation Commission? Have Illinois workers’ compensation costs come down and become more reasonable and consistent with other states? What significant cases have been decided recently by the Workers’ Compensation Division of the Illinois Appellate Court? These questions will be considered withinterpretations and opinions offered by the presenters. The types of issues most commonly identified and litigated before the Commission will be discussed. The goal of the program is for insurers, employers and case handlers to have a better understanding of the current Workers’ Compensation Act and case law, disposition of the Workers’ Compensation Commission and types of cases that should be denied and defended before the Commission.
Discussion:
- Improve your day-to-day Illinois workers’ compensation case handling skills.
- Know the current disposition of the Illinois Workers’ Compensation Commission and whether workers’ compensation benefit entitlements have truly changed post 2011 amendments.
- Know the types of cases that should be denied and tried before the Commission.
- Know the recent Appellate Court case rulings that are significant to employers
Attendance is FREE
Click on the "Register" or "Enroll" button to attend at no charge.
In a series of hypothetical case studies, this program will reveal the inner workings of the claims handling and litigation process through a didactic dialogue from an attorney's intake of the injured worker, to the referral and investigation by the attorneys for the insurance carrier and/or employer, through the trial process, and finally ending with the appellate process. The program is intended to be a discussion of hypothetical case studies in workers’ compensation. The injured workers, employers and insurance companies will be fictitious and the discussions will focus on general handling of workers’ compensation claims from intake to the appellate process and conversations between the respective people within the process.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Discuss denied post-termination cumulative trauma claims for both applicant and employers
- Critique admitted claim of injury self-procured treatment issues, penalties for untimely delay, settlement issues for catastrophic claims, and client control for both applicant and claims
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. David Pollak (moderator)
Robert G. Rassp (moderator)
Alan Gurvey, Esq., Applicant Attorney
Keith More, Esq., Applicant Attorney
Elisha Landman, Esq., Defendant Attorney
David Speyer, Esq., Defendant Attorney
Debra Tobias, Esq., Defendant Attorney
Wendy Humphrey from AIG Claims Services, Inc., Claims Administrator
Karen Nash from Big 5 Sporting Goods, Employer
Dawn Watkins from the Los Angeles Unified School District, Employer
Hon. Colleen Casey, WCJ/Commissioner
Theodore Durden, Lien Representative
Rosanne Wong, Esq. from L.A. County MTA, WC Division, General Counsel
Training Preparation:
In order to better understand the unusual structure and nature of the program, please watch the following youtube.com video (Ethics in America from Annenberg Media) that provides an accurate representation of how our program will be presented: https://www.youtube.com/watch?v=_OImmf345d0
Recommended Training Schedule Chronology
- Workers’ Compensation Basics: History, Terms, and Benefits (6 CE’s)
- Introduction to the California Workers’ Compensation System (6 CE’s)
- Understanding the AMA Guides: Back to Basics (6 CE’s)
- WCAB Medical and Legal Process Forms (6 CE’s)
- Medical Information Every Lawyer and Judge Should Know (6 CE’s)
- For What It’s Worth: How to Rate and Value Your Case (6 CE’s)
- Liens: Where Are We Now? (6 CE’s)
- Hearing Rep Litigation and Case Management Skills (6 CE’s)
Course Description:
- The prevalence of and current gap in chronic back pain (CBP) management, its impact on Injured Workers and the management of Workers’ Compensation claims.
- Virtual reality (VR) has emerged as a promising alternative and complementary approach to traditional pain management methods.
- Illustration of the potential benefits of VR therapy for CBP management through review of an FDA-authorized VR treatment.
Learning Objectives:
- CBP is a prevalent, complex, and expensive condition that carries a significant health economic burden in the US. For Injured Workers who experience persistent pain, the ability to participate in family, social, and work activities is often reduced, which can negatively affect their mental health and bring substantial costs to families, communities, and health systems, including Workers’ Compensation.
- Incorporating VR therapy into Workers' Compensation treatment plans could lead to improved overall outcomes for Injured Workers.
- Although several VR-based chronic pain programs exist, one approaches pain through a behavioral skills-based VR program and is the first FDA-authorized in-home virtual reality (VR) treatment clinically proven to deliver significant, lasting reduction of chronic lower back pain.
- Understand the potential efficacy of VR treatment in CBP, including assessment of applicable patient types, using clinical trial data.
Instructors:
Emily Judge (Facilitator) - VP, Strategic Partnerships - AppliedVRAbraham J. Kabazie Jr., MD - Pain Management Specialist
Todd Maddox, PhD - VP, Research and Development - AppliedVR
Overview:
This is our second webinar in our 3-part series on chronicity within the workers’ compensation system, which explores the complex relationship between PTSD and its overlapping comorbid conditions. Chronicity adds layers of complexity to PTSD treatment, making recovery more challenging and requiring a comprehensive approach. Beyond persistent symptoms, PTSD often involves comorbidities like chronic pain, anxiety, depression, and physical disabilities, which complicate recovery.
Our panelists will discuss how these comorbidities prolong disability and reduce the effectiveness of traditional treatments. Participants will learn why a one-dimensional strategy is insufficient and how a biopsychosocial, transdisciplinary model better addresses the needs of patients with PTSD and associated conditions.
The discussion will highlight the prevalence of these comorbidities in high-risk groups like first responders and emphasize the importance of incorporating the patient’s perspective in treatment planning. We will also address the limitations of conventional biomedical models and offer practical steps for implementing holistic, patient-centered care strategies.
Our esteemed panel of experts is dedicated to advancing care for Post-traumatic Stress Disorder (PTSD) within the workers' compensation system. It includes Dr. Heechin Chae, Medical Director at Institutes of Health, who brings extensive experience in brain injury rehabilitation, having led major brain injury programs at Harvard and Spaulding Rehabilitation Hospital. Dr. Gabe Dawson, a former paratrooper and elite athlete, now specializes in functional medicine and fiercely advocates for first responders struggling to receive adequate care. Dr. Lorimer Moseley, a globally recognized pain neuroscientist, is renowned for his groundbreaking work on pain and his widely acclaimed TEDx Talk, "Why Things Hurt." We also welcome a special guest speaker, Samantha Glovak, PhD, a clinical psychologist in the Comprehensive Pain Clinic at VA Puget Sound, American Lake Division. She specializes in trauma-informed, mindfulness-based, cognitive behavioral interventions for chronic pain, as well as evidence-based treatments for PTSD.
With our expert panel, this webinar aims to challenge and inspire the industry to rethink and reshape how these complex conditions are approached, driving a shift toward more innovative, effective, and compassionate care in workers' compensation.
Learning Objectives:
- Establish the high prevalence of comorbid conditions with PTSD.
- Understand how indexed trauma can lead to PTSD, and how pain and physical injury complicate recovery.
- Recognize the need for a broader scope in functional recovery and the limitations of a myopic view of symptoms and diagnosis.
- Appreciate the importance of a transdisciplinary approach in addressing comorbidities and the patient's perspective of disability.
- Compare and contrast biopsychosocial assessment and care planning with the traditional biomedical model.
Instructors:
Yvonne Guibert (Moderator) - VP Education Strategy - Institutes of HealthDr. Gabe Dawson - Sr. VP Systems, Analytics, and Compliance - Institutes of Health
Dr. Heechin Chae, MD, FAAPMR, IFMCP, CLCP - Medical Director - Institutes of Health
Dr. Lorimer Mosely, DSc, PhD, FACP - Director of Pain Education - Institutes of Health
Samantha Glovak, PhD - Comprehensive Pain Clinic - VA Puget Sound
This program presents a panel of legal and medical experts discussing required protocols for writing the Causation and Apportionment sections of Medical Legal Reports. Instructors will enable students to clearly recognize whether the Causation and Apportionment sections of Med-Legal reports have been properly written and meet the requirements for substantial evidence.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Differentiate between causation of injury and causation of permanent disability
- Employ the required language for the causation of injury statement(s)
- Formulate and present opinions on causation and apportionment of permanent disability
- Discuss where the burden of proof lies and when it shifts
- Discuss differences between LC 4663 and 4664 and why they are both required when discussing causation and apportionment
- Apply the changes stemming from SB 863
- Read reports from other specialities which is important for QMEs and AMEs
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Marjorie Cohn, PhD, QME
Julie Armstrong, PsyD, QME
Gary Armstrong, PsyD, QME
Arthur Lipper, MD, QME
Elliot Berkowitz, Esq.
Raymond Correio, Esq.
Join us in Glendale as Suzanne Honor-Vangerov and Steve Cattolica present this vital SB 1160 Update, including 2017 specifics for practice and procedure.
Credits:
This course qualifies for "Participatory" educational credit hours in California.
To legally perform the duties of a Claims Adjuster, at least 30 hours of training as set forth in Sections 2592 and 11761 of the California Insurance Code must be completed to achieve your post-designation certification. This WorkCompCentral Credential Post-Designation program is completely online, allowing the student to work at their own pace.
This curriculum has been recently updated and includes all current laws, practices, and concepts. The instructors are the most knowledgeable, highly respected members of the workers' compensation community.
Training Package Includes 32.5 Credit Hours:
- Conversation With Your Client: Hypothetical Case Studies - 6 Claims Credits
- Ethics, Competency Issues and Elimination of Bias - 6 Claims Credits
- A Claims Examiner’s Toolbox - 4.5 Claims Credits
- Causation and Apportionment in Med Legal Reports - 4 Claims Credits
- Rate Expectations: PD, Rating and Advocacy - 6 Claims Credits
- Advanced Rating: Become an Expert - 6 Claims Credits
Students who complete all of the post-designation coursework will meet the California Department of Insurance requirements laid out in Title 10, 2592.04 of the California Code of Regulations governing bill review professionals.
Overview:
Join us for our final 2022 California Case Law Update on the WCAB rules and regulations in our half-day webinar focused on Case Law Updates and the new WCAB Rules of Practice and Procedure that went into effect on January 1, 2022.
Our Dream Team presents case law like no other workers’ compensation organization by describing the case and the potential effect the case has on the practice of workers’ compensation law from the applicant's attorney’s perspective, the defense counsel’s perspective, and a judge’s perspective. The program’s format includes a round table discussion of each case with graphics showing highlights of each case so that the audience can visualize each case’s unique details.
You will hear from our esteemed instructor panel on important updates to California workers' compensation laws that affect your practice from the past two years:
- Updated knowledge of case law from 2020-2022
- Review of underutilized strategies to implement in your law practice
- Improve your workers' compensation knowledge, practice and procedures
- and more!
Learning Objectives:
Attendees will learn how recent cases may affect or impact:
- applicant attorney law practice
- defense attorney law practice
- a Judge’s decisions
- and more!
Instructors:
Hon. David Pollak - Van Nuys WCAB
Hon. Robert Rassp - Presiding Judge, Los Angeles WCAB
Frank Christine III, Esq. - Tobin Lucks
The subject matter of this course will cover all pertinent case law for litigation and legal practice in 2017. Instructors will examine the most important pieces of case law, presented alongside a spectrum of tools for proper application.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Explain exclusivity of workers' compensation
- Discuss the statute of limitations and insurance coverage
- Describe injury AOE/COE
- Distinguish medical-legal procedure and medical treatment
- Interpret case law updates to permanent disability
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. David Pollak
Hon. Robert Rassp
Frank Christine, III, Esq.
In this program, Suzanne Honor-Vangerov discusses changes to payment methodology, changes to definitions, and changes to payment multipliers as well as updated tables. Workers' compensation professionals who work with the outpatient hospital fee schedule will benefit from this course.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Define key terms related to the Outpatient Hospital Fee Schedule
- Apply payment methods appropriately
- Discuss tables relating to the fee schedule
This course qualifies for "Participatory" educational credit hours in California.
Instructor:
Suzanne Honor-Vangerov
This course provides essential updates and specific tools for workers' compensation professionals residing in or near San Diego, CA. Instructors will discuss liens, case law updates and the impact SB 1160 has had on the industry.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Describe the impact of SB 1160
- Define social security disability
- Interpret case law updates
- Discuss liens and structured settlement strategies
- Classify reimbursement and contribution
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Clifford Levy
Jessie Zaylia
Brenna Hampton
Sharon Douglas
David J. Korch
Anthony DeLillis
Cory DeLillis
Jack Don
Suzanne Honor-Vangerov presents a program discussing the vital changes for 2017 including conversion factors, types of covered services and what is reimbursed. This course will benefit all who are involved in the workers' compensation system.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Identify important changes for 2017
- List changes to the conversion factors
- Explain changes to types of covered services
- Classify how certain services are reimbursed
This course qualifies for "Participatory" educational credit hours in California.
Instructor:
Suzanne Honor-Vangerov
This program will discuss all pertinent laws, skills and tools for lien issues starting January 2017. Instructors will provide guidance on pre-trial preparations, burden of proof and trial pointers. A question and answer session will conclude this program, providing valuable insight for all parties in the workers' compensation system.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Differentiate between liens and non-liens
- Establish photocopy services
- Identify med-legal criteria
- Discuss IBR, cost petitions and interpreter issues
- Recognize new law on stayed and suspended providers
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Myrle Petty
Suzanne Honor-Vangerov
William Tappin
Overview:
This program instructed by Phil Walker, J.D. and Christopher Brigham, M.D. will focus on the basic ratings under the AMA Guides. This is part one of three on a series of the AMA Guides 5th Edition.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Discuss simple ratings and how to read it off a chart
- Explain range of motion and intermediate ratings
- Describe Californial special cases and how to get a report corrected under the guides
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Christopher Brigham, MD
Phil Neal Walker, JD
This program will instruct Hearing Reps and Lien Reps in the fundamentals about a work comp claim - from injury to opening a case, pre-trial issues, mandatory settlement conferences, and settlement of cases. Three experienced and highly respected judges with a combined total of 68 years of judicial experience will lead this course. The curriculum is also of great benefit to any non-attorney who appears at a DWC District office (board): hearing representatives both applicant and defense, lien hearing representatives, lien claimants, paralegals, legal secretaries, law school students, law firm interns, claims adjusters, TPAs, employers or HR professionals, self-insureds, program managers and claims analysts for brokers. As well as attorneys, claims professionals, insurance professionals, and self-insureds.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Prepare for hearings (conferences and trials)
- Identify professional standards and conduct as well as DWC forms and procedures
- Discuss case review, legal basics, petitions, liens, file and litigation preparation and strategies and both direct and cross examination
- Construct effective depositions and expert testimony
- Defend and prosecute AOE/COE and independent contractor issues
- File petitions for reconsideration and removal
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Janet Coulter
Hon. Eileen O'Kane
Alan Skelly
This program provides expert instruction and advice about rating, permanent disability, impairment and litigation strategies. Instructors will focus on all aspects of rating and prepare everyone involved in the rating process to succeed.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Discuss apportionment specifics and criteria for an Almaraz/Guzman rating
- Identify whether a failed Almaraz/Guzman rating should be remanded or should default to the strict rating
- Rate impairments not specifically listed in the Guides
- Differentiate between Acme Steel and vocational expert testimony
- Analogize to Table 6-9 (the hernia table)
- Describe when it is appropriate to go outside of the chapter that provides the strict rating
- State what a judge is looking for when deciding a rating issue
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Clint Feddersen
Hon. Robert Rassp
Hon. William Carero
Kenneth Kingdon, Esq.
Allan Fensten, Esq.
Michael Sullivan and Associates present this vital update for the Bay Area. Instructors will review skills, legal updates and process techniques to be successful with a claim. The discussion will include: significant case law and legislative update, ADA vs. WC - return to work & the interactive process, and challenging the PQME specialty.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Identify significant case law and legislative updates
- Compare and contrast ADA and WC
- Define reasonable accommodation and the interactive process
- Differentiate between returning to work for a work related injury and a non-industrial injury
- Idenfity strategies on how to challenge panel QME specialties with the Medical Unit and WCAB
- Create a smooth process for returning an employee to work that is in compliance with the law
- Recognize the QME process
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Michael Sullivan, General Managing Partner
Lisa Aguiar, Employment Law Section Manager
Pilar Mitchell, Managing Attorney
Joshua Kruger, Associate Attorney
Shane McKay, Associate Attorney
Litigation involving uninsured employers has become unusually complicated given the requirement of service of process in accordance with the Code of Civil Procedure in order to obtain personal jurisdiction and proper joinder of the Uninsured Employers Benefits Trust Fund. In addition, once joinder has been secured, further litigation involving joinder of additional employers and/or insurance carriers lead to trials on employment and arbitration on insurance coverage. Further roadblocks can also include uninsured employers filing bankruptcy requiring injured workers to seek relief from the automatic stay of the workers' compensation case in bankruptcy court and death of uninsured employers requiring creation of no-asset estates in probate court. Finally, when the Uninsured Employers Benefits Trust Fund assumes responsibility for uninsured employers' financial liability, collection efforts against them can be devastating.
 
This comprehensive program will cover all aspects of workers' compensation claims against uninsured employers from attorneys who represent injured workers, uninsured employers and the Uninsured Employers Benefits Trust Fund as well as from a WCJ and an arbitrator. Its goal will be to assist attorneys who represent injured workers and uninsured employers in navigating this difficult area of the workers' compensation system.
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Duration
Attendees will be able to identify the options for extending benefits beyond stated duration limits in Option benefit plans. Four common avenues will be explored.
Benefit Start Date
Attendees will be able to see why and how employers can start benefits from the first day of disability. Discussion of facts involving number of injured workers who receive various lengths of disability and the impact of eliminating benefit waiting periods.
Weekly Maximum Benefit
Attendees will understand the flexibility that nonsubscriber Option plans have to increase benefits above work comp weekly maximum amounts. Discussion of the number of workers who have wage replacement cut back and how many TX Nonsubscriber plans have no maximum benefits.
Wage Replacement Percentage and Effect of Taxation
Attendees will be able correlate the effect of various wage replacement percentages and their effect on net after tax pay. Discussion of detailed calculations and impact of wage replacement percentage, after taxation, for four different wage replacement percentages at six different wage levels.
Payroll Deduction Differences
Attendees will understand how payroll deductions apply for Texas nonsubscriber vs workers compensation system. Discussion of how group health, retirement, child support, unions dues, etc. are administered for actively-at-work, vs disabled TX nonsubscriber and disabled work comp.
Putting it all Together
Attendees will understand how all sections above affect the disability benefits an injured worker receives. Discussion of actual benefit amounts an injured worker received for disabilities at different durations. Will also review the financial impact of an extended disability on a two-earner family.
CONTINUING EDUCAITON
California Credit
This webinar creates the opportunity to better understand how California employers who have employees in TX can handle work injuries via the Option to TX Workers’ Comp. Employers, based anywhere in the world, can take advantage of the TX Option program for their employees in that state. This webinar also provides detailed differences between the Option and TX Workers’ Comp. Participating employers will have a greater understanding of how their TX employee injuries are treated, whether in traditional Workers’ Comp or in the Option.
Texas Credit
Claims:
1 (General) Training Credit Hour
Texas Dept. of Insurance
Provider Number: 32715
Course Number: 108200
Approval from the Texas Department of Insurance has been granted for one (1) hour of general credit for agents/adjusters.
Legal:
.75 MCLE Training Credit Hour
State Bar of Texas
Sponsor Number: 9262
Course Number: 928004445
Overview:
This program offers expert instruction and advice on rating, while providing the students with the upper hand in everyday issues with your cases. Students will walk away with an understanding of how to deal with permanent disability issues, rating instructions, formal ratings, and how to cross-examine the rater. In addition, students will find out what a Judge is looking for when deciding a rating issue.Program Learning Objectives:
- Rating and apportionment case law update- Mistakes in the AMA Guides, 5th Ed.
- Underutilized issues in the AMA Guides, 5th Ed.
- Anatomy of a medical report – What is substantial evidence?
- What makes a vocational expert report substantial evidence?
- Common mistakes doctors make in their reports
- Cross-examination of medical experts and vocational experts
- Pandemic and post-pandemic medical evaluation, doctor deposition, and hearing issues
- Chapters 1 and 2 of the AMA Guides, 5th Ed. and Almaraz/Guzman ratings
- Disability vs. impairment
- Fitzpatrick and 100% PD awards “according to fact” per Section 4662(b)
- Adding versus combining impairments
- Apportionment: 4662(a), 4662(b), 4663, 4664, Hikida, Justice, and “vocational apportionment”
- Developing the record before and after trial on permanent disability issues
- Rating instructions, formal ratings, and how to cross-examine the rater
- What a judge is looking for when deciding a rating issue
Instructors:
Hon. Clint FeddersenHon. Robert Rassp
Hon. William Carero
Kenneth Kingdon, Esq.
Allan Fensten, Esq.
The workers' compensation system is complex and foreign to many. Professionals are often thrown into a position in the workers’ comp industry and are told to “take care of it” or simply “to figure it out.” This scenario is all too common and leads to years of frustration and poor results without a knowledgeable source to provide a roadmap to workers’ compensation success.
The Workers' Comp Newcomers Course is used as mandatory onboarding of new hires including risk managers, safety professionals supervisors, and vendors to get up to speed on workers’ compensation very quickly. Many stakeholders are responsible for some aspect of workers’ compensation or disability leave, and need to understand more about workers’ compensation cost containment methodology.
Vendors such as doctors, investigation firms, law firms, medical management vendors and triage companies also learn how their services might fit into the workers’ compensation marketplace. They learn what is important to employers, and what they look for in vendor relationships.
Course Details:
-
Module 1
A Comprehensive introductory course, students with little to no experience in workers’ compensation will be prepared to make an immediate impact on employer’s work comp costs.
Module 2
Building on the foundation laid in Module 1, Module 2 dives further into the fundamental concepts and techniques for workers’ compensation cost containment. Implementation of the concepts and techniques will achieve the desired workers’ compensation goals of reduced costs and improved injured worker outcomes.
In this module you will learn to:
- Identify the four most common reasons why workers’ comp costs get out of control
- Describe the roles and responsibilities of the parties involved in workers’ compensation
- Properly complete a First Report of Injury and describe it’s importance to the claim
- Identify common obstacles a company will face when implementing or reforming a work comp management program
- Avoid common mistakes that increase work comp costs and cause poor injured worker outcomes.
Module 3
The success or failure of a work comp management program is defined by the impact of improvements on an organization. In this module students will learn how to define the scoreboard with specific metrics, as well as tell the story of the meaning behind the numbers.
In this module you will learn to:
- Calculate the minimum experience mod and express the meaning for an organization
- Make an immediate impact on workers’ comp claim costs with the Unit Statistical Date
- Overcome workers’ comp viewed just as a cost of doing business
- Gain management buy-in to the understand value of return to work
- Leverage leading and lagging indicators to accurately assess program progress
Module 4
A common statement regarding workers’ compensation is “I hope we have a good year”, or “we’ve been lucky / unlucky the last couple years.” The reality is hoping for good luck has very little to do with workers’ compensation success or failure. Workers’ comp success is driven by a comprehensive systematic approach to injury management. This session will cover 12 proven tactics used by best-in-class work comp management programs.
In this module you will learn to:
- Prioritize the sequence of implementation of work comp management improvements
- Identify 1 or 2 tactics which will bring immediate work comp results for you
- Leverage the service of third-party vendors to accelerate results
- Systematically communicate with injured workers’ and the claims handling team
- Leverage and coordinate the strengths of the work comp claims handling team
- And more…
Instructor:
Michael Stack - CEO, Amaxx LLC
New for 2017 - learn all pertinent laws, skills and tools for lien issues starting January 2017. Specific focus will be applied to liens, costs and med-legal disputes in 2017.
Discussion
- Liens vs. Non-Liens
- Photocopy Services
- Med-Legal Criteria
- IBR
- Cost Petitions
- New Law on Stayed and Suspended Providers
- Non-IBR Medical-Legal Dispute Procedure
- Interpreter Issues
- Pre-Trial Preparation, Burden of Proof and Trial Pointers
- Recent Cases
Credits:
This course qualifies for "Participatory" educational credit hours in California.
WorkCompCentral presents a full day seminar offering the latest updates in Medicare Secondary Payer compliance. This course touches upon all components of MSP compliance, from conditional payment resolutions and Medicare set-asides to emerging issues such as recoveries under Medicare Parts C & D. With case law and legislative updates and practical advice for how to settle claims with Medicare in mind, this day proposes to offer something for everyone.
Discussion:
- Legal & Regulatory authority for MSP enforcement
- Case law summary
- How Mandatory Insurer Reporting has Changed CMS Recovery Processes
- Conditional Payment Resolution
- Other Federal Debt Recovery Laws to Consider
- Medicare Appeals Overview
- How Recoveries by Medicare Advantage Plans and Part D Prescription Drug Plans Differ
- Medicare Set-aside Arrangements
- Tips for Obtaining CMS Approval
- Considerations when not Obtaining CMS Approval
- Negotiation Tips for Settling Claims with Medicare Issues
- Technological advancements in medicine and settlement impact
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Jen Jordan, JD, MSCC, CMSP, Chief Legal Officer for MEDVAL, LLC
Erin O'Neill, PA-C, JD, Sr. Managing Attorney/Clinical Director-Complex Claims Division for MEDVAL, LLC
This program will provide detailed instructions and skillsets to students for the successful SIU referral and prosecution thereof. The instructors will focus on red flags for fraud, identifying and documenting the fraud, and how to protect your company from fraud.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Investigate stages leading up to and the submission of the SIU referral to the District Attorney
- Submit an SIU referral to the Distract Attorney
- Identify the nuts and bolts of claimant fraud and/or premium fraud
- Explain pertinent law and how to use the SIU referral to prosecute fraud successfully
- Determine if the climant lie constitutes fraud
- Discuss how the lie or potential fraud affects the adjuster
- identify if a lie constitutes fraud
- Evaluate the fraud
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Jeff Stewart - Founder, S.I.S. Investigations, Inc.
Michael Chiriatti, Jr. - Deputy District Attorney, San Bernardino County
Dennis Knotts - Senior Claims Examiner, Riverside County
Laura Clifford - Executive Director, Employers' Fraud Task Force
Theory, Evidence, Negotiation and Trial
Overview:
Understand how to Litigate a Workers’ Comp Case, when the primary issue is Permanent Disability. This course will take the audience step by step through the litigation process of a permanent disability case. From developing an accurate record to presenting the case to the judge.
Discussion:
+ Clarifying the legal theory
- Strict AMA Guides Rating?
- Guzman Rebuttal (LC 4660)?
- LeBoeuf Analysis?
- Total Disability “in accordance with the fact” (LC 4662)?
+ Developing the Record
- Bullet proofing the medical evidence
- Taking the evaluating physician’s deposition
- Strategy for Use of Sub Rosa videos
+ Negotiation Techniques
- Analyzing the pros and cons of settlement
- When to take “yes” for an answer
- Dealing with difficult clients
+ Trial Strategies
- Use of recent case law to bolster your position
- Judicial perceptions of various trial tactics
- Avoiding the apportionment gotchas
- Use and Abuse of the Appeals Process
+ Bridging TTD to PTD: How, When, and What is Paid?
+ How to calculate attorney's fees in a PTD case
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Overview:
This program instructed by Phil Walker, J.D. and Christopher Brigham, M.D. will focus on the intermediate ratings under the AMA Guides. This is part two of three on a series of the AMA Guides 5th Edition.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Discuss prior ratings such as range of motion, DRE, sleep, sex and gastrointestinal
- Identify intermediate ratings such as nerve rating, spine range of motion and DRE and ROM
- Distinguish Almaraz Guzman III ratings
- Explain how to get a report corrected under the AMA guides accurately
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Christopher Brigham, MD
Phil Neal Walker, JD
Overview:
This program instructed by Phil Walker, J.D. and Christopher Brigham, M.D. will focus on the advanced ratings under the AMA Guides. This is part three of three on a series of the AMA Guides 5th Edition.
Discussion:
Upon successful completition of this course, the student will be able to:
- Discuss nerve rating, spine range of motion and Almaraz Guzman III ratings
- Prevail at court with a correct report, cross examination and use of an expert report
- Practice updates on CA workers' compensation law regarding AMA ratings
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Christopher Brigham, MD
Phil Neal Walker, JD
- The current composition of the IWCC
- The impact of 2011 amendments to the Illinois WCA for Illinois Employers
- A current Illinois WC case law update
Overview:
We know that health is determined by more than just access to quality medical care. Social factors such as poverty, housing, and education can significantly impact health outcomes. These factors are known as the social determinants of health (SDOH). SDOH can act as barriers to recovery from illness or injury, and they can also contribute to chronic conditions. In order to address SDOH, it is essential to take a whole-person approach to health. This means considering each individual's physical, mental, and social needs. economic factors such as income and employment are key drivers of healthcare outcomes. The good news is that there are proven tools and techniques that can be used to improve health outcomes for individuals and communities. By using screening tools to identify SDOH and using first points of contact to assess critical indicators, we can make a real difference in the lives of those we serve.
Join us to review these social barriers to recovery and how we can help injured workers overcome them. We will discuss how “whole person recovery” leads to shorter claim durations, decreased indemnity costs, happy and healthy employees, and an overall reduction in total claim payments.
During This Webinar, The Instructors Will Answer Many Questions, Including:
- What role do social factors play in workers' compensation cases?
- What are some social determinants of health that can impact workers' compensation outcomes?
- What are some challenges associated with addressing SDOH in workers' compensation?
- What is the best advice for employers to get injured workers back to work?
- How do we engage with younger workers today to get them to come work for our industry?
Instructors:
Rafael Gonzalez, Esq. - Cattie & GonzalezDebra Livingston - CEO, ReEmployAbility
Chad Bienschroth - Claims Examiner, ABM Risk
Short Summary:
In this webinar, attendees will learn how Motivational Interviewing can be used to improve communication with injured worker patients. MI involves practical, empathetic, and short-term processes that take into consideration how difficult it is to make life changes. Motivational interviewing is often used to help people change their behaviors when facing addiction and chronic conditions such as diabetes, heart disease, and obesity, to name a few. Motivational interviewing is a good tool for people experiencing anger and/or hostility about their situation. It can help them move through emotional stages to find what is needed to motivate them to change.Overview:
This course will provide an overview of how claims professionals can use Motivational Interviewing as a tool to communicate more effectively with injured worker patients. Instructors will review Motivational Interviewing techniques and the relevant theories that dovetail with MI such as Neuroplasticity, Positive Psychology, Stages of Change and Non Violent Communication.Motivational interviewing is often used to help people change their behaviors when facing addiction and chronic conditions such as diabetes, heart disease, and obesity, to name a few. Motivational interviewing is a good tool for people experiencing anger and/or hostility about their situation. It can help them move through emotional stages to find what is needed to motivate them to change.
Course Objectives:
1. Attendees will have an understanding of why neuroplasticity matters in working with injured workers.
2. Attendees will understand how stages of change are relevant to making lasting lifestyle changes.
3. Attendees will have an understanding of how Motivational Interviewing skills can be effective when communicating with injured workers.
4. Attendees will gain an understanding of Non Violent Communication, Positive Psychology and how they relate to working with people who are injured at work.
5. Attendees will learn how Motivational Interviewing includes strategies to combat burnout.
Instructors:
Kendy Anderson - Take Courage CoachingPaul Curtis - Take Courage Coaching
This program focuses on the updates surrounding the AMA Guides, rating and apportionment. Instructors will inspect examples from relevant recent case law and will include practice tips as illustrated by each case. Chapters of the AMA Guides 5th Edition will be combed through, supporting the development of all workers' compensation professionals.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Discuss Chapters 1-17 of the AMA Guides 5th Edition
- Differentiate impairment and disability
- Determine a GAF score
- Analyze a psych claim
- Identify apportionment
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Colleen Casey
Hon. Craig Glass
Hon. Eric Ledger
Hon. Clint Feddersen
WCAB Marina del Rey issues will be discussed in depth.
Discussion:
- Trial Priority according to the Policy and Procedure Manual
- Strategies on how to get your case heard
- Practice and procedure walk-through
- Developing the record: what is substantial medical evidence?
- Burdens: who has to prove what?
- Trial testimony tactics: what's the point of a witness ?
- Attacking a med-legal report: AME vs PQME
- IMR appeals
- Untimely UR
- Liens
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Cirina A. Rose, Marina del Rey WCAB
Hon. Ivy Mi, Marina del Rey WCAB
Adam Dombchik, Esq., Gordon, Edelstein, Krepack, Grant, Felton & Goldstein
David F. Mahjoubi, Esq., Bradford & Barthel
Bethe Barkley, Esq., Stander Reubens Thomas Kinsey
Ajna Sharma-Wilson, Esq.
The California non-attorney Hearing Representative and Lien Representative is required to know how to prepare for and litigate a workers’ compensation case or lien claim before a WCAB Judge. This seminar will instruct Hearing Reps and Lien Reps in the fundamentals about a work comp claim - from injury to opening a case, pre-trial issues, mandatory settlement conferences, and settlement of cases.
Any non-attorney who appears at a DWC District office (board): hearing representatives both applicant and defense, lien hearing representatives, lien claimants, paralegals, legal secretaries, law school students, law firm interns, claims adjusters, TPAs, employers or HR professionals, self-insureds, program managers and claims analysts for brokers.
This seminar is instructed by three experienced and highly respected judges with a combined total of 68 years of judicial experience. The curriculum is also of great benefit to attorneys, claims professionals, insurance professionals, and self-insureds as well.
Discussion:
* Preparation for 2018 Issues
- Preparing for Hearings (conferences and trials)
- Professional Standards and Conduct
- DWC Forms and Procedures
- Case Review
- Legal Basics
- Petitions
- Liens
- File and Litigation Preparation and Strategies
- Direct and Cross Examination
- Effective Depositions
- Expert Testimony
- How and When to Settle the Case (Or Not!)
- Defending and Prosecuting AOE/COE and Independent Contractor Issues
- Rating Your Case
- Petitions for Reconsideration/Removal
- Professional Standards of Conduct
- Liens: Filing, Statute of Limitations, Copy Service Regs and Fee Schedules
- Using EAMS to Your Advantage
Credits:
This course qualifies for "Participatory" educational credit hours in California.
This program provides updates for all pertinent laws, skills and tools for lien issues starting January 2018. Instructors will focus on liens, costs and med-legal disputes. This course will support the development of all participants in the workers' compensation system.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Discuss interpreter issues
- Implement trial preparation strategies to succeed with the burden of proof
- Plan for EAMS, a lien conference and the notice of representation
- Analyze medical legal reports
- Differentiate between IBR, Lien and petition for costs
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Myrle Petty, WCLAJ San Bernardino
Suzanne Honor-Vangerov, Esq.
William Tappin, Esq.
This program explores the updates to litigation and case law for 2018. The panel of judges will help support the student's development of understanding common mistakes in strict rating, case law updates on strict and rebuttal rating, LC 4662, sleep, sex & psych injuries & apportionment and nailing the doctor’s depositions using the AMA Guides.
Program Learning Outcomes:
Upon successful completition of this program, the student will be able to:
- Identify common mistakes related to strict rating
- Interpret case law updates on strict and rebuttal rating
- Describe LC 4662, sleep, sex and psych injuries, and apportionment
- Utilize the AMA Guides to nail the doctor's depos
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Colleen Casey
Hon. Robert Rassp
Overview:
Join Judge Clint Feddersen as he provides an overview of WorkCompCentral’s California workers’ compensation calculators in a live demonstration of our online calculators.Course Objectives:
- Familiarize yourself with the 26 CA workers’ compensation calculators offered by WCC
- Learn how to calculate commutations, PD, Life Pension, PV of Award with Life Pension and more with WCC’s calculators
- Save data sets for a particular case you are working on
- Explore how to use WCC calculators to save time and make more informed decisions on your cases
DISCLAIMER: The information and opinions in this presentation are those of the presenter alone, and not of the State of California, its Labor & Workforce Development Agency, Department of Industrial Relations, Division of Workers’ Compensation, Workers’ Compensation Appeals Board, or any other entity, and are not to be relied upon as legal advice for any particular case.
Instructor:
Hon. Clint Feddersen - WCJ, Van Nuys WCAB
This program provides the essential updates for the year 2018 on the topic of liens. The instructors will focus their teachings on the tools and skills for the entire spectrum of workers' compensation professionals who deal with lien issues.
Program Learning Outcomes:
Upon successful completition of this program, the student will be able to:
- Evaluate IBR, lien and petition for costs
- Create proper objections to bills
- Establish copy service
- Identify services paid under the OMFS and MLFS
- Discuss interpreter issues
- Correctly e-file documents with EAMS
- Deconstruct elements of a lien conference
- Recognize the notice of representation, burden of proof and other special topics
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Myrle Petty
Suzanne Honor-Vangerov
This program will provide expert instruction and advice about rating, permanent disability, impairment and litigation strategies. The panel of instructors will focus on education that benefits all parties in the workers' compensation profession.
Program Learning Outcomes:
Upon successful completition of this program, the student will be able to:
- Differentiate disability and impairment
- Read a medical report and identify substantial evidence
- Cross examine a medical expert
- Discuss adding versus combining impairments
- Develop the record before trial on permanent disability issues
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Clint Feddersen
Hon. Robert Rassp
Hon. William Carero
Kenneth Kingdon, Esq.
Allan Fensten, Esq.
This program introduces students to the preparation of settlement by taking medicare's interests into account. This course is for all disciplines in workers' compensation, especially those who deal with MSP day to day. Greg Glitter of Legacy Claims will expand upon advantageous settlement opportunities and how to review the MSA for accuracy.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Identify advantageous settlement opportunities
- Analyze and mitigate your MSP exposure pre-MSA
- Reviewing an MSA for accuracy
- Discuss the MSP roadmap
This course qualifies for "Participatory" educational credit hours in California.
Speaker:
Greg Gitter, President, Legacy Claim Solutions, Inc.
Overview:
More and more organizations are adopting the NIOSH Total Worker Health Approach to employee wellness and safety. The results of the collaboration between Wellness, Safety and EHS are well documented. But how does an organization make that cultural or practical shift happen with success and sustainability? Musculoskeletal disorders (MSDs), are one of the leading causes of lost workday injury and illness across industries. A core symptom is the appearance and experience of chronic pain by employees. MSDs have a significant cost impact on organizations; $20 Billion a year in workers comp cost and more than $600 Billion in healthcare and lost productivity including the harmful impact of Opioids. Addressing this through traditional safety initiatives or wellness programs will have has limited impact. Even addressing employees in the comp system has been siloed too long. It is not about workers comp and not about wellness but about looking at the organization from a more holistic approach and bringing together all areas that can impact the outcomes of increased health, productivity and morale while lowering costs, reducing injuries and eliminating medication use.
Discussion:
- Through a holistic approach get workers who are injured back to work faster and less costly with no restrictions/light duty and eliminate the risk of opioid dependency
- How to Empower employees to take more ownership through Education and Engagement via focus on body, behavior and environmental changes – resulting in reducing claim time and cost as well as increase the likelihood of avoidance of injuries
- Understand the psychological impacts of pain and how to address them from a wellness perspective and while in the comp system
- Changing the culture from independent silos to collaboration between two or more distinct internal organizations and achieving sustainability (not just the flavor of the month) through blending ergonomic, wellness and safety techniques with a Total Worker Health approach for your employees to keep them healthy and productive
- Break down the cost savings and productivity benefits of a proactive total worker’s health mindset.

Top Tips for Prepping Your Case for Trial
Nailing the Doctor’s deposition
Bullet Proving Your Medical Evidence
Secrets Everyone Needs to Know About How to Accurately Rate PD
WC Litigation Pitfalls and Pratfalls in and How to Avoid Them
Best Practices in Post - Trial Strategies
This program will educate attorneys and claims adjusters on the various methods for assessing the credibility of psychiatric injury claims. Attorneys will gain a better understanding of psychological testing and how to effectively question psychologists about the testing. The testing results are sometimes not presented properly. This is especially important for attorneys to know since they have the ability to cross examine these doctors.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:
- Demonstrate the process assessing credibility through observations in the interview and in the applicant's responses to questions
- Discuss the role of record review in assessing credibility
- Explain the validity and limitations of various tests with emphasis on what attorneys should look for when reviewing reports
- Describe why there are many, sometimes virtuous, reasons for not being completely honest
Daniel King, Psy.D., Q.M.E.
Overview:
The permanent disability rating webinar will cover spine ratings, with an emphasis on evaluating the accuracy of the doctor’s finding. A review of “red flag” rating methods used by doctors to inflate ratings, followed by a discussion of Almaraz/Guzman cases. The session will close with a question & answer segment.Instructor:
Mark Kremer - Owner/operator of Speed Rating, a permanent disability rating service. Since its founding in 1994, Mark has rated over 48,000 medical reports. In addition to rating services, he answers general rating questions for free and offers free in-house training seminars on use of the AMA Guides.Overview:
This program focuses on how to use data. Linda Lane will share a strategy that builds a customized network that achieved the "Triple Aim" of workers' compensation - which is quality care, prompt return to work, and high patient satisfaction. She will use case studies to demonstrate how these programs have achieved success.
Program Learning Outcomes:
Upon successful completition of this course, the student will be able to:- Discover how data analytics when used to identify high-performing physcians can impact WC outcomes.
- Understand the steps to create a data-driven, outcomes-based provider network.
- Learn from case studies that have achieved superior clinical and financial results.
Instructor:
Linda Lane"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
Overview:
Settling work comp claims calls for a tricky balance. Payers want to limit the amount of money that is allocated to a Medicare Set-Aside and injured workers worry about running out of money for their work-injury related medical bills. How do you balance these competing interests? This webinar shows how pairing an intervention-driven MSA partner with a supportive professional administrator can produce a fair and reasonable MSA allocation and still protect and extend those allocation dollars over an injured worker’s life expectancy.
Attendees Will Learn How:
- To balance the interests of payers and injured workers when settling claims.
- An accurate drafting of the MSA provides its own cost savings.
- To identify MSA cost drivers and how to apply clinical interventions to reduce them.
- The right professional administrator can reduce the costs of medical and pharmacy care for the injured worker after settlement.
- Professional administration can support an injured worker after settlement, and protect and extend the life of the settlement.
Instructors:
Daniel M. Anders, Esq. MSCC - CCO Tower MSA PartnersMarques Torbert - CEO Ametros
"Work Comp Matters" - the central location for all your workers' compensation, employment and labor law matters. Steve Appell hosts this weekly podcast from sunny southern California - presenting some talk, some news and some answers about work comp matters.
Roadmap for Prepping Your Case for Trial
- Cheat Sheets and Checklists for Every Hot Topic
- MPN Rules Attorneys Often Miss
- Taking Advantage of the Jurisdiction and Venue Rules
- Confirming Employment: The 2018 Dynamex Case Changes Everything
- Object Before it's Too Late (Edwards Case)
Common Discovery Mistakes and How Not to Make Them
- Developing the Record (McDuffie v. LC 5502(d)(3); LC 5906 & LC 5701)
- Subpoena Duces Tecum: Super Power, but Only if Done Correctly
- Sub Rosa Videos: Traps for the Unwary for Both Sides of the Aisle
- Nailing the Doctor's Deposition
- "Taking the 5th": Options for Applicant & Defense
- Evidentiary Compliance: Priviledges are Alive and Well
Ex Parte Issues That Can Tank Your Case
- Why Maxhan Matters (and how to tell the difference between "communication" and "information")
Don't Let Psych Cases Psych You Out
- How to Meet the LC3208.3: Rolda Burden of Proof
- What are "Events of Employment"?
- What are "Personnel Actions"?
- LC 4660.1 Update: For Sex, Sleep, & Psych, it's All About Direct Injuries v Compensible Consequences
Permanent Disability Rating Update
- 2018 Glossary of AMA Guides Cases
- Burden of Proof Issues when Genetics and Family History Invololved (Rice case and progeny)
-Apportionment; Old Rules - New Tricks
How to Avoid an Appeals Faux Pas
- Gotchas when Appealing an Interim Order
- Using Probative Terms and Phrases
- Secrets for a Successful Petition
Credits:
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Colleen Casey - San Francisco WCAB
Hon. Eric Ledger - Oakland WCAB
Hon. Dora Padilla - San Jose WCAB
This program consisting of two WCAB Judges will provide all attorneys, both applicant and defense, underutilized strategies to implement in their everyday law practice. Vital case law from 2018 will also be covered.
Program Learning Outcomes:
Upon successful completion of this program, the student will be able to:
- Differentiate between injury AOE and COE
- Identify temporary disability and permanent disability
- Describe apportionment and the need for further medical treatment
- Discuss trial procedure, settlement and third party credit
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. David Polak - Van Nuys WCAB
Hon. Robert Rassp - Los Angeles WCAB
Frank Christine III, Esq. - Tobin Lucks
Workers' compensation public policy research is thriving. Big data and next generation analytics have created new insights into all corners of the national workers' compensation system. The best research can challenge long-held beliefs, stakeholders to debate legislative changes and suggest avenues to improve quality of care and facilitate an injured worker's return to work. Citing recent studies on underlying reasons for regional differences, opioid utilization and manage care interventions, John Ruser of WCRI and Alex Swedlow of CWCI will provide examples of how research has served stakeholders need for options, insight and evaluation.
Instructors:
Dr. John Ruser - President, WCRI
Alex Swedlow - President, CWCI
For CE information, contact support@workcompcentral.com
Are we doing enough in the workers compensation industry to innovate by incorporating technology and data into our daily business processes? What can we use today to drive innovation and what will be available to us in the future? This session will explore current capabilities in the areas of technology, data and research. Many advanced technologies are in use today in other industries such as commercial/group health, telecommunications and retail, to name a few. We will also de-mystify topics such as machine learning, pharmacogenomics, biometrics and the internet of things (IOT) with an honest look forward to what the future will bring. Several real-world examples of cross-industry innovations will be presented that are occurring today and coming in the near future. Many of which may be applied to workers compensation.
Speakers:
William Zachry - Sedgwick (moderator)
Cliff Belliveau - myMatrixx
Marcos Iglesias, MD - Broadspire
Gregory Moore, MPH - Kain Capital
Phil Walls, RPH - myMatrixx
Discussion:
- Virtues of precise and short communication
- Consequences of delayed or erroneous communication
- When, Where, and Why communication by substitutes can go wrong
- Ways to assure that injured workers, adjusters, and physicians receive the right information quickly and completely
Instructor:
Steve Cattolica: Legislative Advocate - AdvoCal
Words matter, and people's perceptions shape their opinions and affect their outcomes. How does the language we use affect the recovery for those we serve within the workers compensation system? How does a lexicon impact attitudes and actions that influence priorities and motivations? How is the industry perceived by those outside it, and do those perceptions create financial and human cost? How can we improve workers compensation with just the words we use?
This session will discuss how a change in our industry nomenclature can dramatically affect the direction of a recovering worker's future. Presenters will offer alternative concepts for the future of our industry, where function and recovery are emphasized in a system that communicates clearly with those it serves, and where impairment does not have to become disability.
Instructors:
Bryan Connor - American Airlines
Mark Pew - The Preferred Medical
Bob Wilson - WorkersCompensation.com
Overview:
This program offers expert instruction and advice on rating, while providing the students with the upper hand in everyday issues with your cases. Students will walk away with an understanding of how to deal with permanent disability issues, rating instructions, formal ratings, and how to cross-examine the rater. In addition, students will find out what a Judge is looking for when deciding a rating issue.Program Learning Outcomes:
Upon successful completion of this course, the student will be able to:- Differentiate between disability and impairment
- Describe the anatomy of a medical report and substantial evidence
- Explain what makes a vocational expert report substantial evidence
- Cross-examine a medical and vocational experts
- Discuss adding vs combining impairments
- Recall apportionment: 4662(A), 4662(b), 4663, 4664, Hikida, and "vocational apportionment"
- Interpret Fitzpatrick and 100% PD awards "according to fact" per Section 4662(b)
- Recognize Almaraz/Guzman ratings
- Question the pain add-on criteria
- Outline chapters 1 and 2 of the AMA Guides, 5th Edition
- Discuss current cases and trends regarding disability and apportionment issues
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Hon. Clint FeddersenHon. Robert Rassp
Hon. William Carero
Kenneth Kingdon, Esq.
Allan Fensten, Esq.
This program will enhance each student's ability to identify poor quality evaluations and erroneous ratings. Dr. Chris Brigham will provide an insider's perspective and practical guidance.
Program Learning Outcomes:
Upon successful completion of this program, the student will be able to:
- Explain why it is imperative to obtain accurate, unbiased impairment ratings
- Describe the magnitude of the problem and what causes erroneous ratings
- Outline a 3-step model of prevention of health problems and apply this to impairment ratings
- Explain how to identify erroneous impairment ratings
- List "red flags" suggesting an erroneous evaluation
- Explain how to manage erroneous evaluations
This course qualifies for "Participatory" educational credit hours in California.
Instructor:
Christopher Brigham, MD
This program includes over 120 hours of state-required training to become a licensed Claims Adjuster in California as set forth in Sections 2592 and 11761 of the California Insurance Code. This WorkCompCentral Credential program is completely online, allowing the student to work at their own pace. This curriculum has been recently updated and examines current laws, practices, and concepts.
Program Objectives:
Upon successful completition of this program, the student will be able to:
- Discuss the history of workers' compensation
- Identitfy the role of the claims adjuster
- Explain cause of injury
- Deconstruct medical treatment and medical evidence
- Classify workers' compensation benefits
- Define permanent disability
- Examine the inner workings of the WCAB
- Discuss litigation and developing the record
- Interpret liens, subrogations and fee schedules
- Describe insurance policies and principles
- Evaluate recent trends, developments and hot topics
Instructors:
This course includes special presentations delivered by engaging, knowledgeable and highly respected industry experts such as:
- Hon. Colleen Casey
- Dr. Chris Brigham
- Frank Christine, III, Esq.
- Hon. Robert Rassp
- Jeffrey Adelson, Esq.
- plus many other leaders in the field
Whether you are an employer, claims examiner, medical provider or attorney, this program will provide you with a clear understanding and practical approach of how the MTUS and Formulary to avoid treatment denials and to expedite treatment and avoid UR & IMR denials.
Program Learning Outcomes:
Upon successful completition of this program, the student will be able to:
- Define the MTUS & Formulary
- Identify the MTUS (ACOEM) Chronic Pain Guideline
- Write reports to avoid denials
- Recognize REED MDGuidelines
This course qualifies for "Participatory" educational credit hours in California.
Instructors:
Dr. Steven Feinberg, MD - Feinberg Medical Group
Lucy Shannon, Director of Editorial Research and Development - Reed Group
Joe Guerriero, Senior Vice President - Reed Group MDGuidelines Division
Overview:
This webinar provides a guide to handling cases of serious and willful misconduct of employers. Examining various reviews and practice hints, Frank Christine III, Esq. will offer a review of the Labor Code, recent cases, and practice pointers to hone in a legal skill set.Program Learning Outcomes:
- Define serious and willful misconduct
- Differentiate specific and CT injury claims
- Discovery
- Analyze relevant case law
- Appraise penalty assessment
This course qualifies for "Participatory" educational credit hours in California.
Instructor:
Frank Christine III, Esq., Tobin LucksOverview:
Hon. Clint Feddersen designed this course to prepare experienced workers' compensation attorneys to become California Certified Legal Specialists in Workers' Compensation Law.Program Learning Outcomes:
This test preparation training series will provide a review of the following topics that may be on the examination:- Ethics and Professional Responsibility
- Remedies and Defenses
- Time for Direct Q&A
Instructor:
Hon. Clint Feddersen - Workers' Compensation Judge - Van Nuys WCABOverview:
This 3-part series instructed by Hon. Clint Feddersen is designed to prepare experienced workers' compensation attorneys to become California Certified Legal Specialists in Workers' Compensation Law.Program Learning Outcomes:
This test preparation training will provide a quick but comprehensive review of all areas of workers' compensation law that may be on the examination, including:- Ethics and Professional Responsibility
- Remedies and Defenses
- Practice Procedures
- Medical Issues
- Disability Evaluation and Apportionment
- Test strategies will also be provided
Instructor:
Hon. Clint Feddersen - Workers' Compensation Judge - Van Nuys WCABOverview:
Hon. Clint Feddersen designed this course to prepare experienced workers' compensation attorneys to become California Certified Legal Specialists in Workers' Compensation Law.Program Learning Outcomes:
This test preparation training series will provide a review of the following topics that may be on the examination:- Practice and Procedures
- Medical Issues
- Time for Direct Q&A
Instructor:
Hon. Clint Feddersen - Workers' Compensation Judge - Van Nuys WCABOverview:
Hon. Clint Feddersen designed this course to prepare experienced workers' compensation attorneys to become California Certified Legal Specialists in Workers' Compensation Law.Program Learning Outcomes:
This test preparation training series will provide a review of the following topics that may be on the examination:- Disability Evaluation and Apportionment
- Summary and Test Strategies
- Time for Direct Q&A
Instructor:
Hon. Clint Feddersen - Workers' Compensation Judge - Van Nuys WCABOverview:
Join Judges Myrle Petty and Robert Hill as they discuss vital liens updates for the entire spectrum of Work Comp professionals. Law, procedure and important changes will be covered in detail. This annual event will provide the specialty tools needed for success.Program Learning Topics:
Upon completion of this program, students will have a better understanding on varius topics, including:- Cost pettions under Labor Code Section 5811
- Interpreter Issues
- IBR Petitions
- Non-IBR Petitions
- Special topics
- Copy Service liens
- Labor Code Section 4615 stays
- Declarations-requirements and validity
- Trial preparation, burden of proof and trial pointers
- Sanctions
Instructors:
Hon. Myrle Petty - WCALJ - San Bernardino District OfficeHon. Robert Hill - WCALJ - Riverside District Office
Overview:
Learn about significant new case law in 2019, including a stimulating analysis of what you need to know and how to apply them in your workers' compensation practice.Program Learning Outcomes:
- Updated knowledge of case law in 2019.
- Providing underutilized strategies to implement in everyone's law practice.
- Improving your workers' compensation practice and procedures.
Instructors:

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Course Overview:
The property and casualty insurance industry traditionally lags when adopting new technologies. Most of us joke about it on convention room floors and during happy hours, but in recent years, technology and the concept of digital transformation has accelerated at an incredible pace. It is resonating through almost every aspect of the claims journey by way of technology-enabled apps, cloud technology, rapid advancements in clinical and operational systems, staffing, and overall culture. In this webinar, we will review some of the technological advancements that are transforming the property and casualty insurance industry.
Learning Objectives:
At the end of this webinar session, participants will be able to:
1. Conceptualize 5G and understand its benefits.
2. Define artificial intelligence and provide examples of usage.
3. Explain delivery platform requirements and identify popular platforms.
4. Define IoT devices and list some of the data captured using said devices.
5. Classify AI-Powered Platforms that do not require specialized equipment.
6. Discuss EHS Apps and some of their uses
7. Understand how AI drives predictive analytics and what the discipline strives to achieve.
Instructors:
Nikki Jackson
Zack Craft
Dr. Claire Muselman
Melora Copeland
Brenna Hampton, Esq.
Office Managing Partner, Hanna Brophy, San Diego Office