Industry Insights
Grinberg: No UR? No Problem — if There's no Material Change in Fact | 06/16/2022 | ||
By: Gregory Grinberg | |||
State: CA | Segment: Top | 0 | |||
I'm back with a blog post on yet another one of those favorite topics: utilization review. The case at hand is Holguin v. First United Methodist Church, a panel decision. ...Read More | |||
Snyder: The One Word to Keep Negotiation Going | 06/15/2022 | ||
By: Teddy Snyder | |||
State: NA | Segment: Top | 0 | |||
How do you react when your negotiating opponent says something completely outlandish? Some negotiators walk out. Some blow up, screaming invective. Some stoop to insult. In short, they do everything but negotiate. ...Read More | |||
Kamin: Unpopular Bills Pass Initial Deadline, but Still Have a Long Way to Go | 06/14/2022 | ||
By: John P. Kamin | |||
State: CA | Segment: Top | 0 | |||
Four bills that could raise costs for California employers, administrators and carriers passed key votes in the California Legislature with an upcoming gubernatorial election pending in the background. ...Read More | |||
Lim: Defendant With Lion's Share of CT Doesn't Always Get the Election | 06/10/2022 | ||
By: David K. Lim | |||
State: CA | Segment: Top | 0 | |||
Typically, in a cumulative trauma claim where there are two carriers having partial coverage, the applicant will elect against one of the co-defendants under Labor Code 5500.5. ...Read More | |||
Barrios: Bringing COVID-19 Home to Your Spouse | 06/09/2022 | ||
By: Brigget Barrios | |||
State: CA | Segment: Top | 0 | |||
There is no question that COVID-19 altered our existence as humans. Worldwide, the pandemic has touched all aspects of daily life. It is not surprising, then, that we are still seeing the ripple effects in the California workers’ compensation system. ...Read More | |||
Paduda: Those Damn Facility Fees | 06/08/2022 | ||
By: Joe Paduda | |||
State: PA | Segment: Top | 0 | |||
If you are a work comp payer, you don’t have to pay those ridiculous facility fees when care is delivered outside the hospital — at least not in Pennsylvania. ...Read More | |||
Geaney: Appellate Division Endorses Penalty Assessed for Late Payment | 06/07/2022 | ||
By: John H. Geaney | |||
State: NJ | Segment: Top | 0 | |||
There are few cases in the Appellate Division that discuss penalties for late payments of permanency awards, so the recently published decision in Ripp v. Cou...Read More | |||
Grinberg: WCAB Rejects Psych PD, Places Burden on Applicant | 06/06/2022 | ||
By: Gregory Grinberg | |||
State: CA | Segment: Top | 0 | |||
In the panel case of Sosa v. Race Engineering Inc., applicant claimed injury to his hand, psyche, internal system, skin, gastrointestinal system and sleep as a result of an admitted injury, but defendant accepted only the hand. ...Read More | |||
Burk: Advice to Employers in Dealing With Dependency, Lifetime Benefits | 06/03/2022 | ||
By: Maura Burk | |||
State: NJ | Segment: Top | 0 | |||
What happens if an employee dies during the pendency of the open and ongoing workers’ compensation claim? The answer to this depends on a few factors. ...Read More | |||
Grinberg: Fraudster Spotted Working the Morning of Her Deposition | 06/02/2022 | ||
By: Gregory Grinberg | |||
State: CA | Segment: Top | 0 | |||
I bring you the story of another “successful” fraud prosecution, this one of Yeimi Espinoza, as reported by WorkCompCentral. ...Read More | |||