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Workers' Compensation News

Quota-Share Deals a Familiar Theme for Distressed Carriers 10/07/2013
State: NA | Segment: Top | 856 | 0 | Popular with Legal
By David Dankwa, Senior ReporterProperty and casualty insurers wrestling with underwriting losses and reserving issues frequently turn to quota-share reinsurance arrangements to shore up capital and stabilize their business. The latest insurer to do so is Tower Group, which a...Read More
QME Process the Clear Winner for Complexity and Time Consumption 09/19/2013
By: Sherri Okamoto (Legal Reporter)
State: CA | Segment: Top | 1573 | 0 | Popular with Legal | 50 min read
California's process for getting a qualified medical evaluator for workers' compensation claims, considered to be complicated and confusing enough to lawyers who practice in the Golden State, is even more bewildering to their out-of-state colleagues.Attorneys in o...Read More
Quinn Appoints 3 New Arbitrators, 1 New Commissioner 08/13/2013
State: IL | Segment: CENTRAL | 752 | 0 | Popular with Legal | 5 min read
Gov. Pat Quinn appointed three new arbitrators and one new commissioner to the Illinois Workers' Compensation Commission on Friday.Quinn named Michael Brennan as the agency's new commissioner and appointed arbitrators Molly Dearing, Jeffrey Huebsch and Ketki Steffen. ...Read More
QME Exam Scheduled for Oct. 19 07/26/2013
By: Greg Jones (Deputy Editor)
State: CA | Segment: WEST | 851 | 0 | Popular with Legal
The California Division of Workers’ Compensation is accepting applications for the Oct. 19 qualified medical evaluator exam that will be administered in South San Francisco and Irvine.QMEs are independent physicians certified by the division’s Medical Unit to conduct evaluati...Read More
QME Arrested in National Crackdown on Medicare Fraud 06/17/2013
By: Greg Jones (Deputy Editor)
State: CA | Segment: WEST | 607 | 0 | Popular with Legal | 7 min read
Twelve Los Angeles residents, including the second-largest Medicare biller for chiropractic services in California, were arrested last week for submitting $22 million in bills for services that were never provided, the Federal Bureau of Investigation announced.The arrests are part of wha...Read More
QME Writing Course Modified for SB 863 05/24/2013
By: Greg Jones (Deputy Editor)
State: CA | Segment: WEST | 904 | 0 | Popular with Legal
The California Division of Workers’ Compensation said it has revised its mandatory 12-hour report-writing course for qualified medical evaluators to account for changes made by SB 863.For example, SB 863 eliminated the need for a QME to address medical treatment disputes for injuri...Read More
QME Gets Probation for Overbilling, Self-Referrals 05/13/2013
By: Greg Jones (Deputy Editor)
State: CA | Segment: WEST | 910 | 0 | Popular with Legal | 1 min read
The California Division of Workers’ Compensation temporarily suspended and placed on probation a qualified medical evaluator who allegedly overbilled for medical-legal evaluations and referred injured workers for testing at facilities in which he had a financial interest.The divisi...Read More
QME's License Threatened after Medical Marijuana Sting 05/02/2013
By: Jim Sams (Senior Editor)
State: CA | Segment: WEST | 559 | 0 | Popular with Legal
The California Board of Osteopathic Medicine is recommending disciplinary action against a Fresno qualified medical examiner for allegedly recommending the use of medical marijuana to patients without conducting medical examinations.According to an ...Read More
Qmedtrix Asks Appeals Court to Hold FairPay Settlement Illegal 02/13/2013
State: LA | Segment: CENTRAL | 618 | 0 | Popular with Legal
Qmedtrix, a Portland, Ore., bill-review firm, has asked the Louisiana Court of Appeal, 3rd Circuit, to dismiss a district court's approval of a settlement involving repricing of workers' compensation outpatient medical bills by FairPay Solutions.Qmedtrix says the decision by 27th...Read More
Qualified Individual Question Prevents Summary Judgment 01/28/2013
State: CA | Segment: WEST | 666 | 0 | Popular with Legal
The existence of triable issues of fact about whether a worker was a "qualified individual with a disability" barred an employer from obtaining summary judgment against a disability discrimination suit, California's 4th District Court of Appeal determined. Case: Prock v. Tamura Corp....Read More
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