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Industry Insights

 
Parking Lot Cases Teach Us to Go Back to Basics 03/28/2004
State: CA | Segment: | 0
"Parking lot" cases, such as the recent decision by the Fourth Appellate District of California in Sharp Coronado Hospital vs. WCAB (D042518, 03/22/04)(not certified for publication), are classic tests of the basic legal doctrine in workers' compensation, that the injury "arise out of and in the cou...Read More
 
 
Practical Tips for When You Suspect Discrimination 03/14/2004
State: FL | Segment: | 0
It's bad enough when you sustain a work injury. Your entire life gets disrupted. Unable to work, the day to day tedium of recuperation drives most people just a little batty. The pain becomes monotonous, worry sets in when the monthly bills start arriving, and savings start getting low. Add to all o...Read More
 
 
PG&E Teaches HOW to Present a Psyche Case 01/17/2004
State: CA | Segment: | 0
The First Appellate District of the California Court of Appeals certified for publication an opinion that further clarifies what constitutes "actual events of employment" under Labor Code section 3208.3 - but the opinion really provides a road map for the proper handling of psychiatric claims by app...Read More
 
 
Psychiatric Issues in Treating and Reporting 12/06/2003
State: CA | Segment: | 0
Recent California cases have, I believe, created an unknowing malpractice bear trap for physicians practicing industrial medicine, necessitating ever more vigilance by the primary treating physician, and subsequent physicians, in the initial intake and subsequent patient interviews. The issue is psy...Read More
 
 
Pebworth, Voc Rehab and Pre-'03 Injuries 08/16/2003
State: CA | Segment: | 0
AB 749 was the first time in California workers' compensation history that settlement of prospective vocational rehabilitation entitlement was permitted. Labor Code section 4646 was amended into three sub-sections, providing the framework for a scheme that permitted settlement of "the employee's rig...Read More
 
 
Preventing Delays When Billing for Supplies 05/24/2003
State: CA | Segment: | 0
As a Workers' Compensation Auditor and Bill Review Specialist I see numerous claim payments being held up on claims where supplies and materials are billed and the invoice is not attached to show the actual cost of the supplies and/or materials. This may result in a significant delay in getting paid...Read More
 
 
Prescription Benefit Management for Employers - 2 02/01/2003
State: CA | Segment: | 0
In our first article we reviewed what a prescription benefit manager (PBM) is and how it can save an employer money. This article, Part 2 of the two part series, will review how to sel...Read More
 
 
Prescription Benefit Management for Employers - 1 01/19/2003
State: CA | Segment: | 0
Prescription drug costs are the fastest rising component of workers' comp medical costs, advancing 16% last year and consuming close to a dime out of every medical dollar. A portion of those rising costs can be attributed to an overall increase in drug usage. This is not entirely negative s...Read More
 
 
Penalties, Interest and Taxes 11/24/2002
State: CA | Segment: | 0
Are penalties and interest paid on a workers' compensation award taxable? Basically, no. In California, all payments made pursuant to Division 4 of the Labor Code are deemed "compensation" (Labor Code section ...Read More
 
 
Preparing for a Formal Conference 08/18/2002
State: CA | Segment: | 0
When an applicant attorney files an RU-103 requesting dispute resolution by the Unit, many claims examiners assume the attorney submitted copies of all documents relevant to the dispute. While they should do so, many attorneys file only those documents supporting their position; the obligati...Read More
 
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