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System Users Question Incorporating General Practice Recommendations Into MTUS 07/19/2018
By: Greg Jones (Deputy Editor)
State: CA | Segment: Top | 43 | 0 | Popular with Legal | 4 min read
OAKLAND, Calif. — The California Applicants’ Attorneys Association is questioning the appropriateness of a proposal to update sections of the Medical Treatment Utilization Schedule, including general practice advice and recommendations rather than medical necessity. ...Read More
 
 

DWC Reminds Payers That Acupuncture Remains Compensable 07/19/2018
State: CA | Segment: WEST | 34 | 0
Just because Medicare and Medicaid don’t pay for acupuncture doesn’t mean California employers and workers’ compensation carriers don’t have to. ...Read More
 
 
DWC Posts Updated Subpoena Forms 07/19/2018
State: CA | Segment: WEST | 60 | 0 | Popular with Legal | 1 min read
The California Division of Workers’ Compensation posted to its website updated subpoena forms for use in district offices throughout the state. The Workers’ Compensation Appeals Board has approved the new forms, the division ...Read More
 
 

Doc Keeps License After Pleading Not Guilty to Self-Dealing 07/19/2018
State: CA | Segment: WEST | 91 | 0 | Popular with Legal | 2 min read
A Riverside judge denied a request by the California Medical Board to suspend the medical license of a doctor who pleaded not guilty to charges that he referred workers’ compensation patients to have services provided by other companies he owned, according to a ...Read More
 
 

Payers Pan Governor's Opioid Guidelines 07/19/2018
State: PA | Segment: Top | 30 | 0 | Popular with Legal | 2 min read
Business interests and even some workers’ comp attorneys belittled Pennsylvania Gov. Tom Wolf’s new opioid prescription guidelines for workers’ comp claimants, deriding them as toothless recommendations that lack the force of law. ...Read More
 
 

Class Action Charges Vast Conspiracy by Insurers to Shirk Interest on Medical Bills 07/19/2018
By: William Rabb (Reporter)
State: IL | Segment: Top | 25 | 0 | Popular with Legal | 9 min read
In the long war between Illinois physicians and insurers, a federal judge has opened a new trench by refusing to dismiss a class-action lawsuit that alleges workers' compensation carriers have engaged in a vast conspiracy to delay medical reimbursements and avoid interest on late payment...Read More
 
 

Supreme Court Won't Use Dual Persona Doctrine to Expand Employer's Immunity to Landowner 07/19/2018
Source: WorkCompCentral
State: ME | Segment: NORTH | 23 | 0
In a case of first impression, Maine’s highest court on Tuesday declined to use the dual persona doctrine to expand an employer’s immunity from civil suit to a property owner with a corporate affiliation to the employer. ...Read More
 
 

Court Publishes Ruling Limiting Public Employer's Ability to Assert Subrogation Claims 07/19/2018
Source: WorkCompCentral
State: PA | Segment: NORTH | 22 | 0
The Commonwealth Court this week ordered publication of its prior decision that held that a self-insured municipality’s decision to pay medical benefits to an injured police officer from its workers’ compensation fund did not entitle the municipality to a subrogation lien against...Read More
 
 

Court Upholds Award to Worker for Knee, Back Injuries 07/19/2018
Source: WorkCompCentral
State: MS | Segment: SOUTH | 20 | 0
The Mississippi Court of Appeals upheld an award of benefits to a worker for a knee injury and for a back injury that was caused by a fall when his knee unexpectedly gave way. ...Read More
 
 

Worker in Need of Surgery Can't Reopen Claim for Prior Knee Injury 07/19/2018
Source: WorkCompCentral
State: AZ | Segment: WEST | 28 | 0
The Arizona Court of Appeals ruled that an injured worker was not entitled to reopen her workers’ compensation claim for a knee injury, since she failed to prove that her need for surgery was related to her prior accident. ...Read More
 
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