Industry Insights
May IBR Process Be Used For Lien Disputes Filed Prior to Jan. 1? | 10/19/2012 | ||
By: Reid L. Steinfeld and Richard Boggan | |||
State: CA | Segment: | 0 | Popular with Legal | |||
With the Department of Industrial Relations’ (DIR) and Division of Workers’ Compensation (DWC) scheduled to enact new proposed regulations by November, the issue of whether medical providers with fee schedule disputes for dates of service prior to Jan. 1, 2013, can avail themselves of th...Read More | |||
Meningitis, Compounding Pharmacies and Workers' Comp | 10/17/2012 | ||
By: Joe Paduda | |||
State: NA | Segment: | 0 | |||
There’s one good thing coming out of the horrific and rising death toll from possibly-contaminated drugs produced by a small drug compounding firm. There’s nothing like a few deaths to concentrate the attention of policymakers. If that sounds heartless and cruel, it is noneth...Read More | |||
Massachusetts Insurers Take One for the Team (Again) | 09/17/2012 | ||
State: MA | Segment: | 0 | Popular with Legal | |||
I have written before about what I consider to be a true Massachusetts Miracle: The 1992 reform of the Commonwealth's workers' compensation system and the results achieved following that reform. Bottom line, premium rates in Massachusetts are among the lowest in the nation while benefits ar...Read More | |||
Make Sure Disputed Bills are Authorized when Asserting AHCA Defense | 09/11/2012 | ||
By: Michael Rabinowitz | |||
State: FL | Segment: | 0 | |||
I’ve written before about the employer/carrier's (E/C) jurisdictional defense to a claim for unpaid bills from authorized providers. The claimant has no standing to sue for payment of the bills and the judge has no jurisdiction to order the payment of the bills.Only the Agency ...Read More | |||
Mark Twain's Workers' Compensation | 08/09/2012 | ||
State: NA | Segment: | 0 | Popular with Legal | |||
The one thing about statistics is it's all about how the data is gathered and interpreted.Which is why I'm not terribly excited about the latest published study from the National Academy of Social Insurance (NASI) which claims that employers on average paid less for workers&rsquo...Read More | |||
Making the Most of the New Misrepresentation During Hiring Defense | 07/24/2012 | ||
By: Michael Ballance | |||
State: NC | Segment: | 0 | |||
The revisions to the North Carolina Workers’ Compensation Act provide a new and much needed defense to workers’ compensation claims. N.C.G.S. § 97-12.1 now permits the complete denial of a claim where an employee engages in misrepresentation about his physical abilities during the h...Read More | |||
Managed Care in Work Comp: Worth the Cost? | 07/02/2012 | ||
By: Joe Paduda | |||
State: CA | Segment: | 0 | |||
Medical cost containment expenses in California have doubled over six years. Yet medical expenses have continued to increase, led by facility and surgery expense, and WorkCompCentral reports the combined ratio hit 122 in 2011, a substantial jump from previous years. (sub req).Are we wast...Read More | |||
Mileage Under Illinois Workers' Compensation Act and Rules | 06/20/2012 | ||
By: Eugene Keefe | |||
State: IL | Segment: | 0 | Popular with Insurance | |||
Do Illinois employers owe mileage to medical care or light work under our law?We keep getting asked over and over and here are some thoughts on this legal subject. It is our reasoned legal opinion, Illinois employers do not owe mileage expense incurred by injured workers for non-emergenc...Read More | |||
Mental Illness in the Cockpit | 04/11/2012 | ||
State: NA | Segment: | 0 | Popular with Insurance | |||
Clayton Osbon, 49, served as a pilot for Jet Blue Airlines for 12 years. On March 27 during Flight 191 from New York to Las Vegas, he suddenly began raving about terrorists and started pushing buttons and flipping switches in the cockpit, all the while telling air traffic controllers to shut up. His...Read More | |||
Medical Treatment under Workers' Comp | 03/21/2012 | ||
State: CA | Segment: | 0 | Popular with Legal | |||
This was a week where I personally learned one of the obstacles injured workers face.I was lucky. The malady was not industrial. Between my persuasive powers and the fact I knew the doctor, a 30-day wait for an appointment was reduced to one-half day.There was no utilization-...Read More | |||