Industry Insights
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Grinberg: No 'Special Risk/Mission' Exception for MVA After Second Shift at Work | 02/21/2019 | |
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| By: Gregory Grinberg | |||
| State: CA | Segment: Top | 0 | |||
| If you ask an applicants' attorney about the “going and coming rule,” nine out of 10 will tell you, “Oh yeah, it means you’re going to find this claim compensable, and I’m coming for your money.” ...Read More | |||
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Goldstein: Proposals Will Likely Increase Medicare Advantage Plan Enrollment | 02/12/2019 | |
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| Source: Jean S. Goldstein | |||
| State: NA | Segment: Top | 0 | |||
| The Centers for Medicare and Medicaid Services recently released Part II of a set of proposals that CMS indicates “will take significant steps in continuing the agency’s efforts to maximize competition among Medicare Advantage Plans (MAP) and Part D plans.” ...Read More | |||
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Gorman: Let's Cap the Well | 02/04/2019 | |
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| By: Patrick C. Gorman | |||
| State: CA | Segment: Top | 1 | |||
| We have been seeing a cottage industry in the area of non-independent bill review medical-legal disputes over the past three years. ...Read More | |||
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Grinberg: Injured Worker Can Use Phone to Record QME Exam | 01/30/2019 | |
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| Source: Gregory Grinberg | |||
| State: CA | Segment: Top | 0 | |||
| So many of our litigated workers’ compensation cases turn on the medical-legal exam. Everyone knows that every single chiropractic qualified medical evaluators will find every injury results in 100% disability that is industrially caused, while every spine and orth...Read More | |||
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Grinberg: Absent Evidence of Causation, At-Work Collapse Not AOE/COE | 01/18/2019 | |
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| By: Gregory Grinberg | |||
| State: CA | Segment: Top | 0 | |||
| Pop quiz: A worker collapses on the job and ultimately expires. No witnesses appear with an explanation of what happened — no trauma, no blows, no anything. He just collapses and dies. ...Read More | |||
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Grinberg: WCAB Rejects 'Every Specific Injury Is a Violent Act' Theory | 01/10/2019 | |
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| Source: Gregory Grinberg | |||
| State: CA | Segment: Top | 0 | |||
| I have repeatedly expressed my frustration with the interpretation of Labor Code Section 4660.1(c)(1) and the “violent act” definition. ...Read More | |||
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Gelman: Labor Department, OSHA Form Alliance to Better Protect Workers | 01/02/2019 | |
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| Source: Jon L. Gelman | |||
| State: NJ | Segment: Top | 0 | |||
| The New Jersey Department of Labor and Workforce Development (NJDOL), the New Jersey State Industrial Safety Committee (NJSISC) and the U.S Department of Labor’s Occupational Safety and Health Administration (OSHA) has signed an agreement establishing an alliance to foster safer and mo...Read More | |||
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Goldstein: Changes to Medicare Secondary Payer Recovery Portal Are Coming | 12/31/2018 | |
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| Source: Jean S. Goldstein | |||
| State: NA | Segment: Top | 0 | |||
| The Centers for Medicare and Medicaid Services recently held a high-level overview webinar of the upcoming Medicare Secondary Payer Recovery Portal (MSPRP) enhancements. ...Read More | |||
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Grinberg: Almaraz/Guzman Continues March to 'Magic Words' Status | 11/28/2018 | |
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| Source: Gregory Grinberg | |||
| State: CA | Segment: Top | 0 | |||
| I report to you today that it appears Almaraz/Guzman has achieved status as a magic phrase. It need only be uttered or hinted at, and all the rules (and laws) that would otherwise apply appear to go out the window. ...Read More | |||
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Goldstein: Medicare's Conditional Payment Recovery Process Ramping Up | 11/21/2018 | |
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| By: Jean S. Goldstein | |||
| State: NA | Segment: Top | 0 | |||
| Last month, at the annual National Alliance of Medicare Set-Aside Professionals’ Annual Conference, Performant Financial, the current contractor for the Commercial Repayment Center, held a timely panel question and answer session. ...Read More | |||
