Calif Edition Banner March 2010
Vol 1, Issue 39

Find Solutions & Strategies                         September 7, 2010

Rx signCompound Pharmacy Liens
Los Angeles District Office seeks to consolidate lien proceedings
In This Issue
* FEATURED ARTICLE: Compound pharmacy liens
* PANEL DECISIONS: QMEs, Spinal surgery
* BLOG ROUND UP: fraud, CCCs, Guzman III - two more viewpoints, Defense Base Act
* NEWS HEADLINES: WCRI study on medical payments
* ARCHIVES: view past eNewsletters

A Note From the Editor

Robin Kobayashi
Dear WC Professionals:
I'm pleased to announce that the 2010 Edition of the Defense Base Act and War Hazards Compensation Act Handbook (Roger A. Levy, Editor-in-Chief) is now available. See box below.
Robin E. Kobayashi, J.D.
LexisNexis Editorial & Content Development
New 2010 Edition!
DBA Handbook 2010 Small  
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Price $64 (effective through 12/31/2010)

featured article

Compound Pharmacy Liens Are The Subject Of CA Court's Motion To Consolidate. The Los Angeles district office of the Division of Workers' Compensation has made a motion to consolidate lien proceedings regarding compound pharmacy liens. The hearing is scheduled for 10 a.m. on Wednesday, Oct. 6...Read more.

recent panel decisions - sneak preview
Each week we report a few recent panel decisions that we're considering for the LexisNexis® services:
NOTE: This free eNewsletter reports only a handful of panel decisions each month. If you want notification of all 40 to 65 noteworthy panel decisions added each month to the Lexis database, please consider purchasing our new panel decisions reporter (see box below).
QMEs; Replacement Panel; Ex Parte Communications. WCAB held defendant was not entitled to replacement QME panel under LC 31.5(a)(2) to evaluate applicant's left knee injury based upon original QME's failure to schedule first appointment within 60 days as required under LC 33(e), when new appointment with same QME scheduled after defendant objected to initial appointment was scheduled within 60 days so as to cure any non-compliance with applicable rules, and applicant would suffer undue delay and significant prejudice by being required to undergo evaluation with a new panel QME; Counsel's communications with QME's staff regarding scheduling of appointment with QME to evaluate applicant did not constitute a prohibited ex parte communication. See O'Reilly panel decision.
Spinal Surgery; Utilization Review. WCAB affirmed WCJ's award of medical treatment in form of three level disc replacement surgery recommended by treating physician to be performed in Germany, when uncontroverted evidence indicated that this type of surgery was not available in United States, that fusion surgery available in United States was a less desirable option from a cost and recovery perspective than surgery available in Germany, and that recommended surgery was reasonably required to cure or relieve effects of applicant's industrial injury; WCAB held that effect of treating physician's failure to submit request for authorization of surgery in proper format as set forth in Administrative Director's rules meant that 10-day period for defendant to object to request for authorization under LC 4062(b) and utilization review process described in Cervantes v. El Aguila Food Products were never triggered, but since matter proceeded to expedited hearing on applicant's request for spinal surgery without objection from defendant that it was not provided with an opportunity to obtain UR of request, issue of defendant's need for UR was waived. See Pappas panel decision.

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NEW! Designed especially for subscribers only, this monthly reporter saves you research time so that you can quickly find recent panel decisions on key topics.

Thumbs Up SEPTEMBER ISSUE NOW IN PRODUCTION: Guest contributors write about developing the record and range of evidence in AMA Guides cases.
We do the legwork for you: Our editorial consultants pour through hundreds of cases to find noteworthy decisions that you should know about.
What you get each month: Brief summaries of typically 40 to 65 cases, arranged by topic. Commentary articles written by guest contributors.
How you'll get it: (1) Email/Web version*, which allows Lexis subscribers to link directly to the WCAB decisions on; and (2) Print version, which can be stored in a binder.
View sample web version: Click here
What it costs: Regular price - $199/yr. Special Limited Time Offer for eNewsletter subscribers - $159 for the first year's subscription. Offer expires 12/31/2010.
* Each email/web issue accessible for up to a year 
Fraud SignWorkers' Comp  Fraud Blotter 9/2/2010 - recent arrests, charges, convictions, investigations. Read it.        

Cal Comp CasesCal. Comp. Cases September Advanced Postings 9/2/2010.  Read it.

Raymond Correio Guzman III: "Sifting The Wheat From The Chaff", by Raymond F. Correio, Pearlman, Borska & Wax. Read it.


Howard Stevens Guzman: New Decision, Old Medical Business, by Howard Stevens, Law Offices of McDermott & Clawson. Read it.
Roger LevyNew 2010 Edition of the Defense Base Act and War Hazards Compensation Act Handbook, by Roger A. Levy, Levy Mediation. Read it.
> CA: Anti-Employment Fraud Bill Headed for Governor's Desk
> CA: Medical Payments Per Claim Grew After Period of Large Post-Reform Decrease
> CA: State Fund Blows Off Broker/Client Ownership
> CA: 2010 Legislative Session Ends, Significant P/C Issues Considered> CA: Trial Postponed Again for Vista Councilman Charged With Failure to Pay Workers' Comp Insurance
P2548 CA WC HotDocs
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enewsletter archives
Take a deep dive into our past eNewsletters for 2010...warning - some links to articles may not any linking problems to
August 30, 2010
August 23, 2010
August 16, 2010
August 9, 2010
August 2, 2010
July 12, 2010
July 6, 2010
June 28, 2010
June 21, 2010
June 14, 2010
June 1, 2010

May 24, 2010

May 17, 2010

May 10, 2010

May 3, 2010

April 26, 2010

April 19, 2010

April 12, 2010

April 5, 2010

March 29, 2010

March 22, 2010

March 15, 2010

March 8, 2010

March 1, 2010

February 22, 2010

February 16, 2010

February 9, 2010

February 2, 2010

January 26, 2010 

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