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Workers' Compensation News

DWC Tries Again with Rules for Medical Reimbursement Dispute Resolution 11/25/2019
State: FL | Segment: SOUTH | 218 | 0 | Popular with Legal | 35 min read
Florida's Division of Workers' Compensation is proposing another round of changes to part of the medical reimbursement dispute resolution process, in keeping with a 2017 administrative judge's ruling. ...Read More

Commissioner Overrules Rating Bureau; Approves 5.8% Decrease in Rates 11/25/2019
State: NJ | Segment: NORTH | 409 | 0 | Popular with Insurance | 122 min read
Another state's insurance commissioner has overruled a rating agency and forced a larger decrease in in workers' compensation overall premiums. ...Read More
Accused Agent Said His Wife Handled Policies That Were Never Placed 11/25/2019
State: GA | Segment: SOUTH | 255 | 0 | Popular with Legal | 8 min read
A Georgia insurance agent told a state investigator that he was aware that some workers' compensation and other insurance premiums paid to his agency had not made their way to carriers. ...Read More

Auditor: QME Shortage Delaying Claims; Some State Agencies Overpaying for Comp 11/22/2019
By: Greg Jones (Senior Editor)
State: CA | Segment: Top | 1200 | 0 | Popular with Legal | 79 min read
A lack of available medical evaluators resulted in the automatic denial of claims some state workers filed, delaying benefits by an average of four months, according to a new report by California state Auditor Elaine Howle. ...Read More

DWC Announces 2020 Audit Standards 11/22/2019
State: CA | Segment: WEST | 365 | 0 | Popular with Insurance | 168 min read
The California Division of Workers’ Compensation announced that Profile Audit Review and Full Compliance Audit standards will tighten again in 2020. ...Read More

No Payment Due to Interpreter Service That Didn't Request Review of Invoice 11/22/2019
State: CA | Segment: WEST | 1042 | 1 | Popular with Legal | 100 min read
A California appellate court ruled that an insurance carrier is off the hook for paying the bills of an interpretation service due to the provider’s failure to comply with procedures for payment of liens. ...Read More

Court Rejects Worker's Claims of Conspiracy to Defraud Him of Benefits 11/22/2019
State: CA | Segment: WEST | 835 | 0 | Popular with Legal | 57 min read
A California appellate court upheld the dismissal of a worker’s claims that his employers, State Compensation Insurance Fund and a judge engaged in fraud and conspired to deprive him of benefits from an award he received in 1982. ...Read More

DWC Planning Med-Legal Fee Schedule Hearing for Early 2020 11/22/2019
State: CA | Segment: WEST | 331 | 0 | Popular with Legal | 263 min read
The California Division of Workers’ Compensation said in a statement that it is close to finalizing updates to the Medical-Legal Fee Schedule and intends to begin the formal rulemaking process by the end of the ye...Read More

Lawyers Warn That Treatment Guidelines Could Discourage Comp Doctors 11/22/2019
By: William Rabb (Reporter)
State: KY | Segment: Top | 272 | 0 | Popular with Legal | 236 min read
Claimants' lawyers and doctors are pushing back against Kentucky's planned adoption of medical treatment guidelines, arguing that the restrictions could exacerbate a doctor and attorney shortage in the state. ...Read More

Carrier Can't Compel Psych Exam 11/22/2019
State: MT | Segment: WEST | 156 | 0 | Popular with Insurance | 47 min read
A unanimous Montana Supreme Court ruled that a worker could not be compelled to attend a psychiatric examination without evidence linking his compensable injury to his psychological complaints. ...Read More
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