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Find Solutions & Strategies January 2, 2012 |
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Workers' Comp Medicare Set-Asides
How California handles the WCMSA process |
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A Note From the Editor |

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Dear WC Professionals:
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Best wishes for the new year |

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medicare set-asides |
How California Handles the WCMSA Process, by Robert G. Rassp, Esq. There is a garden industry that has emerged since 1997 in California of companies who have become "WCMSA specialists", promoting themselves as experts in developing WCMSA proposals that will pass muster with CMS. Most workers' compensation legal practitioners who represent injured workers do not practice Social Security disability law, and the issues of the "80% rule" for Social Security disability offsets and the criteria for requiring a WCMSA are completely foreign to them. > Read more.
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permanent total disability |
Permanent Disability; Rating; Permanent Total Disability. WCAB affirmed WCJ's finding that applicant, who sustained 12/17/2003 industrial injuries to his cervical spine, left upper extremity and lumbar spine, incurred permanent total disability, when WCAB found that LC 4662 addresses permanent total disability and LC 4660 addresses permanent partial disability, that specific constraints of LC 4660(b)(1) and (2) are not necessarily applicable to a determination of permanent total disability "in accordance with the fact" pursuant to LC 4662, that WCJ thoroughly analyzed evidence in this case and, although he did not specifically cite LC 4662, he did find permanent total disability "in accordance with the fact," as opposed to using descriptions in AMA Guides pursuant to LC 4660, that WCJ correctly interpreted "total loss of earning capacity" as term is used in 2005 PDRS to mean a total loss of pre-injury earning capacity, and recognized that everyone has a particular combination of education, experience, and intellectual and physical characteristics that generally affect earning capacity but have no specific bearing on a permanent disability determination, and that WCJ correctly concluded that, based upon evidence, sole cause of applicant's total loss of earning capacity was his medical condition. See Cordova panel decision.
Reminder: Check the subsequent history of a panel decision before citing to it.
Lexis.com subscribers: Purchase the California WCAB Noteworthy Panel Decisions Reporter today to get the cutting edge of case law. |
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blogs at the lexisnexis workers' comp law community |

Workers' Comp Fraud Blotter - What Happens in Vegas Stays in Vegas, Including Jail Time for Insurance Fraud, by LexisNexis Workers' Compensation Law Community Staff. Read it.
CIGA Ordered to Administer Medical Care for Both Specific and Cumulative Trauma Injuries: Cal. Comp. Cases December Advanced Postings (12/23/2011). Here's the fourth batch of advanced postings for the December 2011 issue of Cal. Comp. Cases. Read it.
10 Myths and Facts About Workers' Compensation, by Ken Martino, Emily Holbrook, Mark Walls, Robert Wilson, Dr. Marianne Cloeren, Robert G. Rassp, Jennifer C. Jordan, Stuart D. Colburn, Rebecca Shafer, Thomas A. Robinson. Read it.
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