Industry Insights
| It's Utilization! | 07/14/2007 | ||
| By: Joe Paduda | |||
| State: CA | Segment: | 0 | |||
| By Joe Paduda From the big big world of national health care reform, we're heading to the tiny niche of drugs in workers comp, where some pretty interesting things are happening. Well, interesting to the six or eight people who are remotely interested in WC drug management. ...Read More | |||
| Impairment Rating Screens Cost-Effective Claims Strategy | 06/30/2007 | ||
| By: Dr. Christopher R. Brigham | |||
| State: CA | Segment: | 0 | |||
| By Dr. Christopher R. Brigham An understanding of the effectiveness of impairment rating screening and the performance of selected reviews is gained by reviewing the experience of a California client who initiated a policy in 2007 where all AMA Guides impairment ratings (including 0% r...Read More | |||
| Industry Needs Compromise Regarding SB 899 | 06/16/2007 | ||
| State: CA | Segment: | 0 | |||
| By David DePaolo There have been several special interest groups in the work comp industry that have requested I write an editorial about the inequities occurring as a result of SB 899. Much of what has been discussed I agreed with, and have felt compelled to editorialize about. ...Read More | |||
| Issue of Fact as to Whether Auto Claimant was COE Requires Decision by WC Board | 06/16/2007 | ||
| By: Larry Rogak | |||
| State: CA | Segment: | 0 | |||
| By Larry Rogak Response Equip., Inc. a/a/o Simeon Ernst et al. v. American Transit Ins. Co. 2007 NYSlipOp 51176(U) Decided on June 8, 2007 Appellate Term, Second Department In this action by a provider to recover assigned first-...Read More | |||
| Insurers Seek Continued Backstop to Ensure Viable Terrorism Programs | 06/16/2007 | ||
| State: CA | Segment: | 0 | |||
| By Bill Thorness The risk of terrorism continues to vex insurance executives five years after September 11, and with a federal backstop that expires in 2007, the topic will certainly remain high on the problem list. While insurers have been mandated to offer terrorism insurance, progra...Read More | |||
| Ignoring the Appellate Rules at Your Client's Peril | 06/02/2007 | ||
| State: CA | Segment: | 0 | |||
| BY Judge Martha Geer On 7 April 2005, the North Carolina Supreme Court filed Viar v. N.C. Dept. of Transp., 359 N.C. 400, 610 S.E.2d 360 (2005) (per curiam) and--intentionally or unintentionally--dramatically altered the playing field for appeals. Previously, the Supreme Cou...Read More | |||
| Improve Your Odds of Good Surgical Outcomes with Spine Surgery | 05/19/2007 | ||
| State: CA | Segment: | 0 | |||
| By Dr. Zoran Maric Lower back injuries are the most common type of work-related injuries. A large percentage of health care resources are spent on treating these injured workers. Many eventually have spinal surgery. Many of these patients do not do well. How many times have we...Read More | |||
| Informal E-mails Do Not Make an Enforceable Settlement | 05/05/2007 | ||
| By: Larry Rogak | |||
| State: CA | Segment: | 0 | |||
| By Larry Rogak First, we have Weldon v. 210 East 73rd Owners Corp., NYLJ 4/26/07 (Index no. 107301/06, Supreme Court, New York Co.) (Stallman, j). The defendant cooperative corporation moved for an order confirming and enforcing what an alleged settlement agreement. "This moti...Read More | |||
| Insurer Must Seek Vertification When Doc Lacks Sufficient Info | 04/07/2007 | ||
| By: Larry Rogak | |||
| State: CA | Segment: | 0 | |||
| By Larry Rogak A.B. Med. Servs., PLLC a/a/o EKATERINA ZUBRITSKAYA v. American Tr. Ins. Co., 2007 NYSlipOp 50680(U) (App Term, 2d Dept) In this no fault action, plaintiff moved for summary judgment and defendant submitted opposition papers which asserted that defendant timely de...Read More | |||
| Interpreting Pie Charts | 04/07/2007 | ||
| By: Dr. Christopher R. Brigham | |||
| State: CA | Segment: | 0 | |||
| By Dr. Christopher Brigham Thank you all for your positive feedback regarding our Weekly Tips. Our goal is to provide insight on the proper use of the AMA Guides when assessing impairment in challenging areas. We would also like to share with you our most recent results regard...Read More | |||
