National Edition Banner March 2010
Vol 2, Issue 8

Find Solutions & Strategies                           February 21, 2011

ED1Erectile Dysfunction in Workers' Comp Claims

 

Evaluation of and differential diagnosis

In This Issue
-ERECTILE DYSFUNCTION
-WIN A KINDLE
-ATTORNEY'S FEES, LHWCA
-LARSON'S SPOTLIGHT: 5 RECENT CASES: Subrogation, Risk of Employment, Total Loss of Use, Exclusive Remedy, Health Care Policy
-BLOGS @ LEXISNEXIS WORKERS' COMP COMMUNITY: Fraud, TX case, DE case
-MSP COMPLIANCE BOOK
-NATIONAL NEWS
-STATE NEWS
-WHAT'S NEW IN LARSON'S: Ex parte communication
-eNEWSLETTER ARCHIVES
A Note From the Editor
Robin Kobayashi 2010

Dear WC Professionals:

 

Our eNewsletter often links to articles on the LexisNexis Workers' Compensation Law Community site. If you haven't registered for free yet at the community site, you can enter our free raffle to win a Kindle. See box to the right to fill out a registration card. Offer for new registrants expires March 1, 2011.


Sincerely,
Robin E. Kobayashi, J.D.
LexisNexis Editorial & Content Development

Centennial Symposium

April 7, 2011

Intercontinental Hotel

Boston, MA

Making History:

Celebrating 100 Years of Workers' Compensation

 

Keynote Speaker

Lex Larson

Lex K. Larson, author of Larson's Workers' Compensation Law (LexisNexis)

 

Register today

Union Battle: Ground Zero in Wisconsin

Social Unrest on the Eve of Wisconsin's Workers' Compensation Centennial

 

"It seems that this may just be the Basta! moment for middle class Wisconsinites sick of being ground into poverty."

 

The Regressive  Antidote, by David Michael Green, Professor of Economics, Hofstra University, on the week-long protest in Wisconsin, a state that pioneered workers' compensation, unemployment insurance and more, against Governor Walker's initiative to break public sector unions on the basis of fiscal rectitude.

Workers' Comp Profile

Blog Mouse BlueMassachusetts Workers' Compensation Lawyer Blog, published by Altman & Altman LLP, provides fresh, practical information on workplace hazards and the rights of injured workers. This year the Blog covered such newsworthy items as construction accidents, injuries to first responders, workplace fatalities, and prescription drug overcharges. The Blog was named a Top 25 Blog for 2010 by LexisNexis. 

erectile dysfunction in wc claims

Evaluation of and Differential Diagnosis Considerations for Erectile Dysfunction in Workers' Compensation Claims, by Stephen Levit, MD. The medical condition known as Erectile Dysfunction (ED) in men isViagra defined as the inability to maintain a penile erection with sufficient rigidity to permit coitus for duration sufficient to satisfy that man and his partner. For workers' compensation claims cases, the major issue for resolution is whether the cause is related to the injury reported and accepted, or is a consequence of treatment.

 

> Read more 

  

IMPORTANT NOTICE: This article will be provided free of charge to eNewsletter subscribers until March 11, 2011, after which you can access it for a fee on the LexisNexis services.

win a kindle in our community drive

Have you registered yet at the LexisNexis Workers' Compensation Law Community? If not, registeKindler today using the form provided below and be eligible to enter our free raffle for a Kindle. 

 

The raffle is open to new registrants only. Simply fill out the registration form below and email it no later than March 1, 2011 to: Robin.E.Kobayashi@lexisnexis.com

 

> Access the registration form

 

Good luck!

attorney's fees under the lhwca

Longshore Act: Reasonable Hourly Rate Determination - Overview of Recent Decisions, by Yelena Zaslavskaya, Senior Attorney for Longshore, Office of Administrative Law Judges, U.S. Department of Labor, Washington, D.C.

 

Section 28 of the Longshore Act provides for an award of a "reasonable attorney's fee" to a prevailing claimant'sAttorney's Fees attorney payable by employer. 20 C.F.R. Section 702.132(a) provides that a fee application must indicate the normal billing rate for each person who performed services on behalf of the claimant. The regula-tions further provide that any attorney's fee approved shall be reasonably commensurate with the necessary work done and shall take into account the quality of the representation, the complexity of the legal issues involved, and the amount of benefits awarded. In addition, case law addressing what constitutes a reasonable fee under other federal fee-shifting statutes is also applicable to fee determinations under the LHWCA. > Read more

Larson's spotlight: 5 recent cases you should know about

Larson's Spotlight reports noteworthy workers' comp cases each week. This list was c5 spotlightompiled by Thomas A. Robinson, a staff writer for Larson's Workers' Compensation Law, the nation's leading authority on workers' compensation law. 

Tom Robinson thumbnail 

 

 

 > Read the summaries & court decisions.

 

#1 -  IA: Attorney for Deceased Employee's Estate Fails in Attempt to Recover Fees Associated With Carrier's Subrogation Claim

 

#2 - NY: Police Officer's Injury Reaching Across Seat of Car to Retrieve Belongings Just Prior to Roll Call is Not Compensable

 

#3 - OH: Twenty-Seven Percent Impairment to Hand May Still Support Total Loss of Use

 

#4 - TX: Texas Employer's Failure to Advise Worker of Right to "Opt-Out" Does Not Defeat Exclusivity Defense

 

#5 - MO: Firefighter's Untimely Notice of Injury Does Not Defeat His Right to Coverage Under Employer's Basic Health Care Policy

blog round up at the lexisnexis workers' compensation law community
Fraud Sign Workers' Comp Fraud Blotter - Recent Arrests, Charges, Convictions, Investigations - 2/18/2011. Read it.    

 

 

 

Stuart Colburn

Texas DWC's Decision to Deny Benefit Review Conference Requests May Result in Greater Number of Incorrect Impairment Ratings, by Stuart Colburn. Read it.   

 

 

Cassandra Roberts

More from the Delaware Supreme Court: This Time It's All About the Money, by Cassandra Roberts. Read it

 

 

how to achieve medicare secondary payer compliance

Take Control of Your Insurance Settlements With A Brand New Resource From LexisNexis!

 

Thumbs Up  "The range of topics included in the book and updates is a beacon of wisdom in the confusing MSP compliance field."

 

- Tim Nay, Esq., Law Offices of Nay & Friedenberg, Portland, Oregon. Mr. Nay is a co-founder of the National Alliance of Medicare Set-Aside Professionals (NAMSAP). 

   

Thumbs Up  "Finally, someone delivers a clear, concise reading in this area, with some definitive answers for both lawyers and claims specialists and accurate reporting dealing with MSP compliance and MSA allocations with all of the necessary resources found in one place."

 

- Brad Bleakney, Esq., Bleakney & Troiani. Read his complete review at Illinois Workers Compensation blog.

 

Thumbs Up  "An excellent new book ... a one-of-a-kind resource ... [Jennifer C. Jordan's] straight-talk is much appreciated when it comes to this illusive area of the law."

 

- Rebecca Shafer, JD, President, Amaxx Risk Solutions, Inc. Read her complete review at Workers Comp Kit Blog.

 

There are many people who don't understand that the Centers for Medicare and Medicaid Services' approval process of a Medicare set-aside arrangement is voluntary and carries P1130 R12 coveran inherent cost. In fact, many of the decisions that need to be made in a settlement negotiation are risk management decisions rather than being truly Medicare Secondary Payer-oriented. Once you understand why CMS wants what it wants, you will realize that its preference may not be the only way to achieve MSP compliance. The Complete Guide to Medicare Secondary Payer Compliance, Jennifer C. Jordan, Editor-in-Chief, will help you take control of your insurance settlements. > Read more about the contents (1,350 pages). List Price: $179
 


national news
state news

> AZ: SB 135 Would Limit Coverage for Certain Occupational Disease Claims

CA: AB 11 Would Give Small Businesses Some Relief From Workers' Comp Insurance Premiums

CA: Associate Chief Judge Kahn Dismisses Premier Medical Management Liens

> CA: AWCP and CHSWC to Hold Spring Conference on Disability Management 

> CA: AB 375 Would Protect Nurses in the Workplace

> CA: EMPLOYERS Recognized By CA WCRIB For Payroll Audit Performance 

CA: DWC Announces Recipients of 2011 Carrie Nevans Community Service Award

> CA: AB 378 Would Cap Compound Drug Reimbursement

CA: DWC Issues Third Notice of Revisions to Medical Billing Rules

> FL: HB 723 Would Provide State Reciprocity in Workers' Compensation Claims

FL: DWC Revises Injured Employee Notification Letter

FL: SB 1068 Would Cap Repackaged Drug Prices, Implement Other Reforms

> FL: CFO Announces New Leadership Roles at Dept. of Financial Services

> GA: Aiken Named Assistant Commissioner Of GA DoL 

> IL: Former IL Attorney Passed Along All Info About WC Case 

> IL: State Senator Jones Talks About Possibility of Workers' Comp Reform

> IL: Tyrrell Appointed As IWCC Commissioner  

> IL: Two Controversial Arbitrators Placed on Paid Leave  

IL: Senator McCarter Seeks Federal Investigation of IWCC Arbitrator

> IL: Arbitrator Denies State Trooper Claim Before Being Placed on Paid Leave

> KS: House Expected to Endorse Workers' Comp Reform on Thursday

> KS: Dem Lawmaker Unhappy With Current Versions of Workers' Comp Changes

KY: DWC Delays Implementation of EDI Claims Release 3.0

> ME: WCB Publishes 2011 Annual Report 

> MI: ACLU to Appeal Ruling in Workplace Medical Marijuana Case  

MI: Governor's Proposed Budget Would Eliminate Workers' Compensation Appellate Commission

> MO: DoL Director Warns About Workers Misclassification 

MO: Dept. of Labor Reports Employers Misclassified 5,000 Employees in 2010  

MT: HB 405 Would Lower Medical Costs, Workers' Comp Insurance Rates  

> NJ: DWC Posts Notice Concerning Liquidation of Atlantic Mutual, Centennial Insurance

NJ: Joint Legislative Resolution Observes State's Workers' Comp Centennial

NM: HB 356 Would Eliminate Benefits for Intoxicated Workers Regardless of Cause of Injury

NY: S3056 Would Allow Licensed Clinical Social Workers to Treat Injured Workers

NY: Consolidated Suit Alleges BP Failed To Adopt Common Global Safety Standard

NC: WCRI Defends Report on Total Costs Per Workers' Comp Claim

> NC: Law Firm Says Workers' Comp Reform Would Slash Injured Worker Benefits

> OH: Record $830K Returned To OH BWC Following Insurance Fraud Conviction 

OH: 4,000 Protestors Listen to Testimony on Union Bill

> OK: Insurance Group Outlines 2011 Legislative Objectives

> OK: Governor Says Panel Won't Dismantle Workers' Comp Court

OR: Industry Group Explains Impact of Legislature Raids on Workers' Comp Fund

> PA: Construction Workplace Misclassification Act In Effect 

PA: Federal Judge Asked to Rule in Injured Football Player Case

PA: Dept. of Labor & Industry Post Documents for Construction Workplace Misclassification Act  

> RI: High School Dropouts Drain City Budgets

> SC: Prison System Eliminated Deficit, Saved on Medical and Workers' Comp Expenses

> TX: DWC Announces Jan. Enforcement Actions 

TX: WC Commissioner Adopts Amendments Regarding Medical Bill Processing 

> TX: TDI-DWC Centralizes Processing Of DWC Form-069 And Narratives 

> TX: Legislation Would Allow Guns on College Campuses

> UT: Gains 54 New Captives 

> VT: Insurance Industry Warns Lawmakers About Health Care Reform Changes

VT: H202 Would Create Single Payer Unified Health System

WA: L&I Reviewing Workers' Comp Classification of Sports Team Coaches

WA: L&I Says Workplace Deaths Climbed in 2010, Agriculture Tops the List

> WI: Wisconsin Workers' Compensation Forum, Inc. Partners with CompEvent.com for Registration Services  

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what's new in larson's workers' compensation law 
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Lexis.com subscribers to Larson's Workers' Compensation Law can link to the chapter discussion below.
 
Find out more about how to become a Larson's online subscriber by contacting: Robin.E.Kobayashi@lexisnexis.com  

  

Ex Parte Communication Between Qualified Medical Evaluator and Defense Counsel Results in Naming New QME. A California appellate court reversed a ruling of the state Workers Compensation Appeals Board that had denied a claimant's petition for a new qualified medical evaluator where the existing QME had requested a copy of certain records in an ex parte telephone conversation with defense counsel, in spite of some evidence that the conversation might have been "administrative" only, and not on the merits of the case. [See Alvarez v. Workers' Comp. Appeals Bd., 2010 Cal. App. LEXIS 682; Ch. 127, § 127.11[3][a] n4]

ENEWSLETTER ARCHIVES
Take a deep dive into our past eNewsletters for 2011 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

February 14, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104442568785.html 

February 7, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104372668124.html 

January 31, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104299196240.html 

January 24, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104266393145.html 

January 17, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104223885217.html
January 10, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104176109384.html 

January 3, 2011

http://archive.constantcontact.com/fs077/1102828640660/archive/1104102646819.html 

 

ACCESS 2010 ARCHIVES AND ARTICLES LIST HERE.

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