Industry Insights
Claimant Not Entitled to MSA due to Misrepresentation | 01/06/2014 | ||
By: Heather Schwartz Sanderson | |||
State: NA | Segment: | 0 | |||
In a case out of the Civil Appeals Court in Oklahoma, Ramos v. Becco Contractors, Inc. (Dec. 13, 2013), a claimant who misrepresented his immigration status and eligibility for Medica...Read More | |||
California: What's Working? What's Not? | 12/19/2013 | ||
State: CA | Segment: | 0 | |||
I spent some time recently visiting Prium's customers in California, a state that might as well be its own country when it comes to workers' compensation (and lots of other things). Some specific observations based on my interactions with carriers, self-insured employers, third-party adminis...Read More | |||
Castellanos v. Next Door Co. | 10/29/2013 | ||
State: FL | Segment: | 0 | |||
In a case decided (or not decided!) by the Florida 1st District Court of Appeal on Oct. 23, claimant challenged the act as unconstitutional in its restriction, under the formula set forth in Section 440.34 (1), Florida statutes (2009), to an attorney's fee of only $164.54 where the attorney had ...Read More | |||
Congratulations Pa., and Thanks Again to our Fla. IT Team | 10/18/2013 | ||
State: NA | Segment: | 0 | |||
Pennsylvania launched an integrated electronic management system last month. The Workers' Compensation Automation and Integration System, or WCAIS, is described as the first system of its kind. It integrates data-sharing among three Pennsylvania state agencies, the Bureau of Workers' Compens...Read More | |||
Case Law Update | 09/27/2013 | ||
By: Teague Campbell | |||
State: NC | Segment: | 0 | |||
Excusable neglect, Rule 613On Aug. 1, 2007, Adan Nieto-Espinoza filed a Form 18, alleging that he had sustained a workplace injury in May 2007. On Sept. 7, 2010, Deputy Commissioner Phillips granted Nieto-Espinoza’s motion for voluntary dismissal. On Oct. 18, 2010, Nieto-Esp...Read More | |||
Controlling Work Comp Medical Costs: The Impact of Price | 06/21/2013 | ||
By: Joe Paduda | |||
State: NA | Segment: | 0 | Popular with Legal | |||
The Workers Compensation Research Institute released the fifth edition of the Medical Price Index for Workers' Comp yesterday (download available at no cost) analyzing 25 states that account for 80% of...Read More | |||
Choosing Your Battles Wisely under SB 863 Reforms | 05/08/2013 | ||
By: Reid L. Steinfeld and Richard Boggan | |||
State: CA | Segment: | 0 | Popular with Legal | |||
California's Senate Bill 863 differs from past reforms with clear and unambiguous consequences to medical providers for failure to comply. The provisions of SB 863, relating to payment for medical services may seem obvious and the risks manageable, however, there are aspects of SB 863 yet to be ...Read More | |||
Can 'Jake' Authorize a Change in Physician? | 05/01/2013 | ||
State: FL | Segment: | 0 | |||
I enjoy the creativity in advertising. I have to remind myself that they are all just trying to push a product, one which I would not likely even consider without their advertising. I am often struck by the humor in advertisements. I find that the product name and purpose rarely sticks with me, but ...Read More | |||
Can Nurse Case Manager Controversy be Cured with Agreed Rules? | 04/25/2013 | ||
By: John P. Campbell Jr. | |||
State: IL | Segment: | 0 | Popular with Legal | |||
Illinois employers/defense attorneys view nurse case managers as a resource to maintain up-to-date information on the status of treatment and progress with recovery on the more difficult workers’ compensation claimants. Conversely, the Illinois workers' compensation petitioner’s Bar ...Read More | |||
Closed Formulary: Coming Soon to your State? | 03/27/2013 | ||
State: NA | Segment: | 0 | Popular with Legal | |||
There's little doubt that the Texas closed formulary rules (instituted for new injuries as of 9/1/11 and forthcoming for all claims as of 9/1/13) is having it's intended impact. Opioid scripts have dropped, spending on medication therapy has dropped, and prescription habits are clearly...Read More | |||