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Workers' Compensation News


Questions on Whether Carrier Properly Canceled Policy Made Summary Judgment Inappropriate 08/28/2018
Source: WorkCompCentral
State: NJ | Segment: NORTH | 130 | 0 | Popular with Legal | 73 min read
The New Jersey Superior Court’s Appellate Division overturned a partial grant of summary judgment finding that an insurance carrier had properly canceled an employer’s policy before an employee was hurt at work. ...Read More

QME Receives Letter of Reprimand 08/27/2018
State: CA | Segment: WEST | 1914 | 1 | Popular with Legal | 98 min read
California’s Division of Workers’ Compensation issued a letter of reprimand to a qualified medical evaluator following an investigation into allegations of overbilling for medical-legal eva...Read More

Queens Restaurant Owner Accused of Double-Dipping 08/24/2018
State: NY | Segment: NORTH | 140 | 0 | Popular with Insurance | 4 min read
The owner of a Long Island restaurant is accused of hiding her ownership and lying about her injuries so she could wrongfully receive $65,692 in workers’ compensation benefits, the state Inspector General’s Office said. ...Read More
Questionable Compound Billing Detailed in OIG Report 08/14/2018
By: Elaine Goodman (medical/business reporter)
State: NA | Segment: Top | 776 | 0 | Popular with Legal | 67 min read
While the workers’ comp industry has been successfully reducing the use of costly compounded medications, a new government report indicates that pharmacies and clinicians providing questionable prescriptions for compounds have not gone away. In fact, 547 pharmacies were found to hav...Read More

Question of Platelet-Rich Plasma's Effectiveness Grows More Complex 08/08/2018
By: Elaine Goodman (medical/business reporter)
State: NA | Segment: Top | 263 | 0 | Popular with Legal | 99 min read
The question of whether platelet-rich plasma is an effective treatment for musculoskeletal injuries is complicated. PRP, which is prepared ...Read More

QME Pleads Guilty in Compound Kickback Scheme 07/26/2018
By: Greg Jones (Deputy Editor)
State: CA | Segment: Top | 3660 | 0 | Popular with Legal | 50 min read
A Southern California physician who worked as a qualified medical evaluator agreed to forfeit nearly $1 million he received in kickbacks for prescribing compound drugs as part of what a federal grand jury alleges to be a $175 million fraud scheme. ...Read More

Questions Raised Over State Employee Fund's Rising Drug Costs 07/26/2018
By: William Rabb (Reporter)
State: FL | Segment: Top | 293 | 0 | Popular with Legal | 19 min read
With drug costs dropping around the nation, some stakeholders are wondering why Florida's state employee self-insured fund is seeing higher workers' compensation pharmacy expenses. ...Read More

Questions Raised About PBM's Role in $8 Million Compounding Drug Scheme 07/02/2018
By: William Rabb (Reporter)
State: FL | Segment: Top | 1032 | 0 | Popular with Legal | 20 min read
A federal grand jury last week indicted four people in Florida and Georgia in connection with an extensive compound medication scheme, part of a nationwide crackdown that has been called the largest health care fraud investigation in U.S. history. ...Read More

Quiet Session on Comp Expected to Continue 06/04/2018
By: Greg Jones (Deputy Editor)
State: CA | Segment: Top | 1105 | 0 | Popular with Legal | 38 min read
Halftime is over for California's legislative session, and it looks like the rest of the year will close as quietly as it started as far as workers' comp is concerned. ...Read More

QME Fee Schedule Proposal Prompts Call for Reassessment of Med-Legal System 05/24/2018
By: Greg Jones (Deputy Editor)
State: CA | Segment: Top | 1879 | 3 | Popular with Legal | 127 min read
Rather than trying to clarify the Medical-Legal Fee Schedule, some observers are suggesting that the California Division of Workers’ Compensation undertake more of a soup-to-nuts review of the billing rules, or a broader reassessment of the nearly 14-year-old qualified medical evaluator pro...Read More
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