National Edition Banner March 2010
Vol 2, Issue 29

Find Solutions & Strategies                                 July 18, 2011

Hearing LossHearing Loss

 

The Burden of Proof: Conductive vs. Sensorineural Hearing Loss

In This Issue
-HEARING LOSS
-LARSON'S SPOTLIGHT: 5 RECENT CASES: Wage Loss Benefits, Rehire, Employment Status, Rehabilitation Benefits, Tort Action
-BLOGS @ LEXISNEXIS WORKERS' COMP COMMUNITY: Fraud
-MSP COMPLIANCE BOOK
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear WC Professionals:

 

Thanks to Steven M. Birnbaum, Esq. for his informative article on hearing loss.  If you haven't signed up yet for this free enewsletter, simply send your full name and email address with your request for the national enewsletter.
 
Sincerely,
Robin E. Kobayashi, JD
LexisNexis Editorial Content & Product Development
State Jurisdiction & Reciprocity
Football

Did the Florida Legislature Fumble in Trying to Limit Workers' Comp Coverage for Pro Football Players?

 

The Florida legislature thought it had found a way to keep players in Florida from scoring in the California workers' compensation end zone. But  there could be a potential flaw in Florida's new reciprocity statute.

 

To purchase the article at the LexisNexis Bookstore, click here.

Hearing loss

StevenBirnbaumLongshore Act: The Burden of Proof - Conductive vs. Sensorineural Hearing Loss, by Steven M. Birnbaum, Law Offices of Steven M. Birnbaum, San Rafael, California

 

In a recent decision by the Benefits Review Board (Norris Plaisance, Sr. v. Ceres Gulf, BRB Nos. 10-0562, 10-0562A (June 24, 2011) (unpublished), the issue of the burden of proof was addressed when looking at conductive hearing loss vs. sensorineural hearing loss. It was assumed by some that conductive hearing loss was always nonindustrial and therefore it was the burden of the claimant to prove otherwise. In this decision, the Board found that a conductive hearing loss pre-existing the date of work stoppage was presumed to be work-related and the employer had the burden to rebut the presumption.

 

This decision also mentioned a standard for using noise testing on the employer's site and rejected tests that have been conducted generally at the employer's site but not specifically where the claimant worked. The Board also rejected the idea that a comparison of the claimant's hearing with that of a "normal" man could be used to establish that a claimant did not sustain a hearing loss at work. Read more.

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

5 spotlightLarson's Spotlight reports noteworthy workers' comp cases each week. This list was compiled 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. VA: Restricted-Work Laborer Not Entitled to Wage Loss Benefits During Furlough That Applied to All Manufacturing Workers

 

2. WI: State's Rehire Requirement Does Not Require Employer to Modify Legitimate Safety Concerns to Accommodate Worker's Personal Needs

 

3. SC: Taxi Driver Is Employee, Not Independent Contractor, Based on Broad Duties Performed for the Employer

 

4. MT: Rehabilitation Benefits May Not Be Denied to Those Beyond Retirement Age

 

5. LA: Employee's Tort Action Against Employer and Related Corporation in Bizarre Case Where Worker Fell From Helicopter While Hunting Deer in Mexico May Move Forward

blogS at the lexisnexis workers' comp law community
Fraud SignWorkers' Comp Fraud Blotter - Recent Arrests, Charges, Convictions, and Investigations (7/14/2011) - Acting Judge, Police Officer, and Corrections Officer All Facing Workers' Compensation Problems, by LexisNexis Workers' Compensation Law Community Staff. Read it.
how to achieve medicare secondary payer compliance

 MSP Red CC 

The Complete Guide to Medicare Secondary Payer Compliance

Jennifer C. Jordan, Esq., Editor-in-Chief

To order, go to www.lexisnexis.com/Medicare.

 

Medicare Secondary Payer Compliance is an elusive area of law - tucked away in various public laws, statutes, regulations and CMS guidance materials.

 

Worse, many people don't realize that the CMS approval process for MSAs is voluntary-and carries an inherent cost.

 

That's why you need this all-in-one handbook ...

 

Authored by the leading expert in the field of the MSP, "The Complete Guide to Medicare Secondary Payer Compliance" is the only available resource written by an industry insider with a deep understanding and practical knowledge about this highly complex and evolving area of the law.

 

For the first time, you'll find all relevant pieces of the law in one accessible place. And by understanding what CMS wants-and why it wants it-you'll be better able to:

Take control of your insurance settlements

Avoid pitfalls, delays and penalties

Comply with reporting requirements

 

You'll also learn that CMS' preference may not be the only way to achieve MSP compliance.

 

Attorneys agree! This is the first comprehensive resource for achieving Medicare Secondary Payer Compliance.

  

"Ms. Jordan and her contributors provide concise, practical analysis of the multiple layers and nuances of Medical Secondary Payer compliance. The Guide is a valuable resource for plaintiff and defense counsel, as well as insurance carriers, employers, and third party administrators."

 

- Ronald E. Weiss, Esq., Hamberger & Weiss, Rochester, New York. 

 

"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). 

 

"I have a copy of Jennifer Jordan's book The Complete Guide to Medicare Secondary Payer Compliance and I am most impressed by same! I have recommended it to a number of attorneys here in Georgia."

 

- Richard C. Kissiah, Esq., Kissiah & Lay, Alpharetta, Georgia. 

 

"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.
 

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.

 
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Implementation of the MMSEA reporting program is underway. Don't wait to order!

> Read more about the contents (1,350 pages). List Price: $179



 

national news
state news

AZ: Court Rules 30-Day Time Limit for ALJs to Issue Opinion Not Mandatory.

CA: Governor Signs AB 1263 Regulating Lobbying of State Fund by Former Employees, Board Members.

CA: Zurich Relocates Southwest Regional Office to Downtown Los Angeles.

CA: State Medical Board Recommends Five Years Probation for Chargers Doctor.

CA: State Fund Receives Four Communication Awards at AASCIF International Conference.

CA: Lt. Gov. Newsome to Unveil Plan to Address State's Poor Business Climate.

CA: Inland Empire County GOP Leaders Propose Secession From State of California.

CA: Three Proposed Ballot Initiatives Would End Collective Bargaining Rights for Public Employees.

CA: Workers Comp Loss and Expense Payments Rose Almost 3 Percent, According to CWCI.

CA: New Report Says Insurance Industry Accounts for 234K Jobs in California, Payroll of $16.8B.

CT: Connecticut Becomes Next Battleground for Public Sector Unions.

IL: New WCRI Study Provides Tool to Monitor Impact of Illinois Workers Comp Reforms.

IL: Lawyer Who Handled State Trooper Workers Comp Claim Could Face Discipline.

IL: Five Workers Comp Arbitrators in Danger of Losing Job File Lawsuit Against Governor.

IA: Governor Cuts Salary of State Workers Comp Commissioner Who Refused to Resign.

IA: Dem Leaders Consider Legislative Investigation Into Governor's Treatment of Workers Comp Commissioner.

IA: Business Group Flatly Denies Pressuring Governor to Fire Workers Comp Commissioner.

LA: New Medical Treatment Guidelines Take Effect 7/15/2011.

MA: Walgreens Agrees to Pay $2.8M to Resolve Allegations of Prescription Overcharges.

MA: Temporary Staffing Agencies Worry About Bill to Regulate Employment Agencies.

MI: Accident Fund Survey Shows Business Owners' Confidence in Business Outlook.

MT: Supreme Court Rules Statute Denying Voc Rehab Benefits Based on Claimant's Age Violates Equal Protection.

NE: WCC Posts Meeting Agenda for Proposed Rule Changes.

NC: NCIC Adopts Mandatory Requirements for Rehabilitation Professionals.

OH: Governor Appoints Gillmor to Chair Ohio Industrial Commission.

OH: Supreme Court Allows Claimant on Appeal to Present Evidence on Any Theory of Causation for Medical Condition Already Addressed by BWC.

OH: BWC Announces Appointments of New Chief Operating Officer, New Head of Employer Services Division.

SC: WCC Implements Email Security.

SC: WCC Clarifies Requirements for Filing Fees.

TX: WCRI Study Finds Preauthorization Lowers Medical Costs Without Hurting Injured Workers Return to Work.

WA: WCRI Study Finds Prescription Drug Costs for Injured Workers Among the Lowest in Wash. State.

WV: Insurance Commission Extends Deadline for Bids to Provide State Agencies With Workers Comp Coverage.

WI: Judge Approves $1.6M Settlement for Man Injured in Boiler Explosion.

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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.

July 11, 2011: State Workers' Comp Ball of Confusion: AIA's Position on WC Issues

http://archive.constantcontact.com/fs077/1102828640660/archive/1106459756640.html

July 5, 2011: Pulmonary Embolism and the Homebased Worker

June 27, 2011: Medicare Secondary Payer Congressional Testimony

http://archive.constantcontact.com/fs077/1102828640660/archive/1106170037219.html 

June 20, 2011: Out of Network Pharmacies; Home Office Injuries

http://archive.constantcontact.com/fs077/1102828640660/archive/1105986262081.html 

June 13, 2011: Off-Label Drugs

http://archive.constantcontact.com/fs077/1102828640660/archive/1105759563348.html 

June 6, 2011: Transgender Issues

http://archive.constantcontact.com/fs077/1102828640660/archive/1105773492324.html 

May 31, 2011: Cell Phone Distractions

http://archive.constantcontact.com/fs077/1102828640660/archive/1105697648150.html

May 23, 2011: FECA Reform Proposals; Benefits Review Board Update

http://archive.constantcontact.com/fs077/1102828640660/archive/1105575780840.html

May 16, 2011: Full Face Transplant; Medical Foods; P&C Industry Trends

http://archive.constantcontact.com/fs077/1102828640660/archive/1105506640276.html 

May 9, 2011: State of the Line; Workers Comp Trends

http://archive.constantcontact.com/fs077/1102828640660/archive/1105406865560.html 

May 2, 2011: Prescription Drug Abuse

http://archive.constantcontact.com/fs077/1102828640660/archive/1105306219674.html 

April 25, 2011: Radiation Exposure; Medical Fee Schedules

http://archive.constantcontact.com/fs077/1102828640660/archive/1105243933380.html

April 18, 2011: FECA Reform

http://archive.constantcontact.com/fs077/1102828640660/archive/1105151454598.html 

April 11, 2011: NCCI's 2011 Workers' Comp Issues Report

http://archive.constantcontact.com/fs077/1102828640660/archive/1105054845597.html 

April 4, 2011: Workers' Comp Centennial

http://archive.constantcontact.com/fs077/1102828640660/archive/1104945262995.html

March 28, 2011: Medicare Secondary Payer Reform Legislation; LHWCA Comp Rates

http://archive.constantcontact.com/fs077/1102828640660/archive/1104894130984.html 

March 21, 2011: Triangle Shirtwaist Factory Fire

http://archive.constantcontact.com/fs077/1102828640660/archive/1104811663296.html 

March 14, 2011: Medicare Set-Aside & Special Needs Trust; Union Battle

http://archive.constantcontact.com/fs077/1102828640660/archive/1104742747659.html 

March 7, 2011: 50 State Labor Law Ranking; Illegal Aliens & Workers Comp

http://archive.constantcontact.com/fs077/1102828640660/archive/1104678900034.html 

February 28, 2011: Union Battle

http://archive.constantcontact.com/fs077/1102828640660/archive/1104610168211.html 

February 21, 2011: Erectile Dysfunction in Workers Comp Claims

http://archive.constantcontact.com/fs077/1102828640660/archive/1104523576536.html 

February 14, 2011: Workers Comp Notable People 2010

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

February 7, 2011: Workers Comp Centennial; NCCI's Gauging the Economy

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

January 31, 2011: Medicare Set-Aside Allocations; Workers Comp Soft Market

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

January 24, 2011: Sex, Lies & Videotape - Injured Worker

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

January 17, 2011: FECA & Workers Comp Waste; Medical Residents; AMA Guides

http://archive.constantcontact.com/fs077/1102828640660/archive/1104223885217.html
January 10, 2011: Top 10 Bizarre Cases for 2010

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

January 3, 2011: Depression and Delayed Recovery

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

 

ACCESS 2010 ARCHIVES AND ARTICLES LIST HERE.

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