National Edition Banner March 2010
Vol 2, Issue 35

Find Solutions & Strategies                             August 29, 2011

Boxing AMA Guides bigThe Battle of the AMA Guides 

 

Fifth Edition vs. Sixth Edition  

In This Issue
-AMA GUIDES BATTLE
-LARSON'S eBOOK
-LARSON'S SPOTLIGHT: 5 RECENT CASES: Attorney's Fees, Health Care Provider, Facial Disfigurement, Degenerative Condition, Life Care Plan
-BLOGS @ LEXISNEXIS WORKERS' COMP COMMUNITY: Fraud, MO case, DE news
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear WC Professionals:

 

A big thanks to Cassandra Roberts, Esq. for her punch-to-punch coverage of the AMA Guides battle in her state

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Editorial Content & Product Development
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robin.e.kobayashi@lexisnexis.com

ama guides battle

Cassandra RobertsA Lesson in Pugilism: The Battle of the AMA Guides in DE, by Cassandra Roberts, Esq.

 

This week's post is courtesy of Kris Starr who emailed me to say: "Rodgers v. G. Dean MacEwen. I sort of won...."

 

And for those of you who think that any sparring which occurs at the IAB over the AMA Guide 5th versus 6th is just going to be a sweet series of pitty-pat punches, here is a rare example of that pound for pound legend, Dr. Stephen Rogers, kissing the canvass.

 

Corner men in the case of Christopher Taylor v. RGS Electrical, IAB # 1322587 (8/12/11) were David Arndt for the claimant and Kristopher Starr for the employer.

 

So what was at stake? Claimant seeking 11% to the thoracic spine as rated by Doc Rodgers. Sounds credible, not too greedy, right? Stepping up to the ring to challenge that impairment was Dr. Dean MacEwen....read more.

who says you can't take it with you?

Ebook Ereader DeviceIntroducing the Larson's Workers' Compensation, Desk Edition eBook from LexisNexis®. It's portable, dependable, and simple to use on your computer with e-reader software like Adobe® Digital Edition, or on dedicated e-reader devices, such as Apple® iPad®, Sony® Reader, and Amazon® Kindle™.

 

Attorneys, courts, employers, insurance professionals, government entities, policymakers, and others involved with workers' compensation issues depend on Larson's authoritative and incisive coverage on the exclusive remedy defense, employment status, medical and death benefits, psychological injuries, third-party claims, and more.

 

With Larson's you'll also get a bird's eye view of the various jurisdictions and their interpretations of complex workers' compensation issues. Now, this same trusted content is ready whenever you need it and wherever you are, 24/7.

 

WORKERS' COMPENSATION CENTENNIAL DISCOUNT: SAVE 20 PERCENT ON THIS eBOOK.

 

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. FL: Both Employee and Employer Can Be "Prevailing Party" For Purposes of Attorney's Fees

 

2. MN: Medical Center-Not Spinal Cord Manufacturer-Is "Health Care Provider" For Purposes of Billing the Cost of the Equipment

 

3. OH: No "Current Desire to Work" Must Be Shown to Support Facial-Disfigurement Claim

 

4. PA: Nothing Inherently Inconsistent Between Degenerative Condition and Industrial Causation

 

5. NC: Appeal of Order Related to Life Care Plan Dismissed; Order Was Interlocutory

blogS at the lexisnexis workers' comp law community
Fraud SignWorkers' Comp Fraud Blotter - Recent Arrests, Charges, Convictions, and Investigations (8/25/2011) - Embezzled County Workers' Compensation Funds Used For Playboy Mansion Visit to Meet Hugh Hefner, by LexisNexis Workers' Compensation Law Community Staff. Read it.

 

 
Martin Klug

MO: Cloudy Mind Keeps Nursing From Working, by Martin Klug, Esq. Read it.
  

 

 

Cassandra RobertsA Local Earthquake Heralds Changes to the Delaware Work Comp Health Care Payment System, by Cassandra Roberts, Esq. Read it.

national news

MSP: Stricker Judge Refuses Motion to Reconsider Order Dismissing Medicare Claims Against Liability Insurers.

7th Circuit Denies Liberty Mutual Permission to Appeal AIG's $450M Settlement of Workers Comp Premiums Case. 

NFL, New Orleans Saints Sue Former Players for Seeking Workers Comp Benefits in California.  

Winners Announced for Workers Comp Risk Management Award.

AIC Holdings Appoints Robert G. Purdy President and CEO of AIC Underwriters.  

NRLB Releases Investigation Report on 14 Cases Involving Employee Use of Social Media.

Eastern Insurance Holdings Inc. Announces Quarterly Dividend.

Medicare Secondary Payer Charitable Foundation Announces Free Professional Medicare Set-Aside Administration for Qualified Beneficiaries.

state news

CA: Calif Workers Comp Rates Predicted to Remain Flat in 2012.

CA: Supreme Court Denies Petition for Review in Almaraz Case.

CA: Supreme Court Rules Injured Worker Unable to Sue Airline That Hired Contractor.

CA: Medical-Legal Company's Data Spill of 300,000 Health Records.

CA: CWCI Finds Average TD Payments in Calif WC Are Up as TD Duration Increases.

CT: Supreme Court Rules on Guaranty Fund Workers Comp Case.

DE: Governor Signs Bill on Medical Treatment Rendered Across State Lines, Modified Duty.

FL: FWCI Conference: Panel Reviews Year's Most Important Cases.

FL: FWCI Conference: Health Science Experts Discuss Return to Work, Lumbar Fusion, Prevention, Impairment Evaluation, Medical Testimony.

FL: FWCI Conference: A Focus on Evidence-Based Medicine.

FL: FWCI Conference: Surgeons Perform Live Spinal Operation.

FL: US Attorney Announces Indictment of 32 Individuals in Pill Mill Take Down.

IL: IWCC Posts Updated Workers Comp Handbook.

IL: IWCC Reschedules Judicial Training for October 20-21, 2011.

IL: Understanding Effects of Workers Comp Reforms Could Take At Least Five Years.

KY: NCCI Reports High Medical Costs, Drop in Claims Frequency.

MT: Lawyers Petition High Court to Stop Fraud Investigators From Alleged Violation of Privacy of Workers Comp Claimants.

NH: Former Labor Board Leader to Preside Over LGC Hearings.

NH: Investigator Says LGC Hearings to Remain Impartial, Fair.

NY: IIABNY Hails New Laws to Help Private Insurance Companies Compete in New York.

OH: BWC Announces Grow Ohio Workers Comp Incentives to Support Job Creation.

OK: WCC Posts Summary of Workers Comp Legislation, Crosswalk for Code Sections.

OK: NCCI Files Request to Reduce Workers Comp Insurance Rates by 1.7% Effective 1/1/2012.

OR: Insurance Division Proposes Rule to Help Determine if P&C Insurers Fall Within Acceptable RBC Company Action Level.

OR: WCD Posts Revised Bulletin on Employer-Paid Medical Reimbursement Claims Costs.

SC: Insurers Say New Rule on Workers Comp Medical Fees Favors Some Providers.

TX: Insurer Says Supreme Court Decision in Texas Mutual v. Ruttiger Strengthens State's Workers Comp Law.

TX: Ground-Breaking Supreme Court Decisions in Texas Mutual v. Ruttiger Holds Insurer Not Subject to Bad Faith Claims.

TX: Supreme Court Clarifies Standard for Awarding Lifetime Income Benefits.

WA: L&I Proposes Rule to Implement Law for Coverage of Taxi, Limousine Drivers.

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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.

August 22, 2011: Average Weekly Wage & Concurrent Employment

http://archive.constantcontact.com/fs077/1102828640660/archive/1107209297040.html

August 15, 2011: War Hazards Compensation Act: Reimbursement Claims

http://archive.constantcontact.com/fs077/1102828640660/archive/1107048502651.html

August 8, 2011: The Stroke Belt and Implications for Workers' Compensation

http://archive.constantcontact.com/fs077/1102828640660/archive/1106940376674.html

August 1, 2011: FECA Senate Hearing

http://archive.constantcontact.com/fs077/1102828640660/archive/1106811616395.html

July 25, 2011: Spinal Cord and Nerve Root Injuries

http://archive.constantcontact.com/fs077/1102828640660/archive/1106693962530.html 

July 18, 2011: Hearing Loss Burden of Proof

http://archive.constantcontact.com/fs077/1102828640660/archive/1106538861976.html 

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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