California Banner 2012 Chess Board
Vol. 3, Issue 27

Find Solutions & Strategies                               July 2, 2012

Stethoscope GavelTreating Physician's PD Determination
 
When must a party object under Labor Code 4061?
In This Issue
* TREATING PHYSICIAN
* CAAA: SPECIAL DISCOUNT
* MEDICAL PROVIDER NETWORKS
* BLOG ROUND UP: Fraud, CCCs, TTD 2 year window, Romneycare & WC
* NEWS HEADLINES: WCIRB report on losses, expenses
* JOB POSTINGS
* eNEWSLETTER ARCHIVES

A Note From the Editor

Robin Kobayashi 2010

Dear Workers' Comp Community:  
 

To sign up for this free eNewsletter, click here. To read past issues, access the archives 

 

Sincerely,

Robin E. Kobayashi, J.D.
LexisNexis Legal & Professional Operations

Happy Fourth of July!

Fireworks 


The Industry's Leading Training Event

 LRP National Workers Comp Conference 2012 combined

Register today

 

Solutions for Opioid Crisis

Regional Differences Sessions

New Interactive Think Tanks

LexisNexis Enhanced Legal Track

Cutting Edge, But Practical Solutions

 

***LexisNexis Workers' Comp Law Community members are eligible for a special discount.*** 

treating physician

When to Object to a Treating Physician's Permanent Disability Determination. Labor Code Section 4062 provides that if either party objects to a "medical determination" made by the treating physician concerning any medical issues not covered by Labor Code Section 4060 or 4061 and not subject to Labor Code Section 4610, the objecting party shall notify the other party in writing within 20 of the receipt of the report if the party is represented or 30 days if the employee is not represented. Thus, we know that a represented party has 20 days to object if the objection falls under Labor Code Section 4062. What if the treating physician finds no permanent disability? When must the employee object to that determination so as to proceed with a Panel Qualified Medical Evaluation (QME)? Read more.

attn: caaa conference attendees

CAAA Conference Attendees: Take Advantage of 30 Percent Discount Through July 31, 2012. It was a pleasure for LexisNexis reps to meet everyone at the CAAA conference in San Francisco last week! All CAAA conference attendees can still take advantage of our special conference discounts through July 31, 2012. Whether you want print or ebook, LexisNexis has your research solutions, including:

 

*Hanna, Calif. Law of Employee Injuries & Workers' Comp.

*Herlick, Calif. Workers' Comp. Law (2 vol. treatise)

*Herlick, Calif. Workers' Comp. Handbook (2012 Ed.)

*Calif. WCAB Noteworthy Panel Decisions Reporter

*Lawyer's Guide to AMA Guides & Calif. WC (2012 Ed.)

*Complete Guide to MSP Compliance (2011 Ed.)

*California Compensation Cases (adv. sheets) (annual vol.)

*Occupational Injuries and Illnesses (3 vols.)

 

To take advantage of this offer, contact Justin Evans asap:

Phone: 1-800-227-9597 ext. 55434

Fax: 1-866-960-3024

medical provider networks

Sneak PeekHere's a sneak preview of a recent noteworthy panel decision that will be added soon to the LexisNexis services:  

 

Medical Provider Networks; Treatment Outside MPN. WCAB, granting removal on its own motion, upheld WCJs' orders denying defendant's petitions to compel applicant to transfer his medical into its MPN, when there had been no prior determination as to whether defendant's MPN was validly established and properly noticed or whether any defective notice that may have occurred would constitute neglect or refusal to provide reasonable medical treatment, and WCAB found that, although defendant could not compel applicant to treat within its MPN, defendant could file a declaration of readiness to proceed to an expedited hearing to resolve issue concerning applicant's entitlement to medical treatment and determination regarding entitlement to medical treatment could, if appropriate, include a decision on whether defendant's MPN was validly established and properly noticed. See Sarmiento panel decision. 

 

Reminder: Be sure to check the subsequent history of a case before citing to it.

blogs: lexisnexis workers' comp law community 

 

Fraud Sign

Workers' Comp Fraud Blotter: Painter Convicted for Double Dipping, by LexisNexis Workers' Compensation Law Community Staff. Read it

  

 

 

 

Cal Comp CasesException to Use of 2005 Schedule Never Triggered When Defendant Paid Temporary Disability Into 2010: Cal. Comp. Cases July  Advanced Postings (6/28/2012), by Cal. Comp. Cases Staff. Lexis.com users can access the complete headnotes and summaries.  Read it.  

 

 

 

Richard JacobsmeyerCourt Upholds W.C.A.B. Ruling Excluding Medical Legal TD From Labor Code § 4656 Window, by Richard M. Jacobsmeyer, Esq. Read it.

 

  

  

 

Stahl, JohnWorkers' Compensation Under Romneycare Provides Clues for Nationwide Future of Systems, by John Stahl, Esq. Read it.

neWS HEADLINES

CA: WCIRB Releases Report on Losses and Expenses for CY 2011.

CA: Insurance Commissioner Applauds Sup Ct Ruling re Affordable Care Act.

CA: CHCF Says Medi-Cal, State Budget Intensifies Challenges for Affordable Care Act.

CA: CHCF Posts Guide on What Californians Need to Know About Affordable Care Act.

CA: Zenith Says Terminated Employees Use CT Claims to Avoid Post-Termination Defense.

CA: CAAA Says Average WC Rate of Per $100 Still Lower Than Peak in 2003.

CA: Los Angeles City Controller Finds $225K Workers Comp Overpayment.

CA: DWC Posts Spanish Version of Fact Sheet for Use of QMEs, AMEs.

CA: Insurance Commissioner and Monterey County DA Announce Workers Comp Fraud Grant.

IAIABC Drafts Model Legislation on Opioid Use.

US DOL Posts Statement on OSHA Voluntary Protection Program.

Workers' Comp Experts, Officials, Media React to Health Care Reform Ruling.

Affordable Care Act: Health Care Reform Implementation Timeline.

job posting

Job Search CC 

Defense Attorney: Small growing boutique Encino defense firm seeks attorney with minimum 5 years defense experience who thinks out of the box. Must have solid trial and online research experience. Will include occasional appearances in Northern California. Excellent salary that is comparable with large firms but without the insane hours. We seek quality work with good analysis over sheer quantity. Please e mail resume to recruiting@sladeneighbors.com

 

Workers' Compensation Attorneys: Unique opportunity to represent state special funds in administrative and civil litigation. The State of California, Department of Industrial Relations, Office of the Director Legal Unit is looking for attorneys with two or more years of workers' compensation experience to represent the Director before the Workers' Compensation Appeals Board, and in the superior and appellate courts throughout Southern California. The ideal candidates should have excellent writing skills and some civil litigation experience. Please submit the following materials: (1) a State Examination/Employment Application (form STD 678, available on the State Personnel Board website: www.spb.ca.gov), (2) a resume, and (3) 2 writing samples (preferably briefs with a statement of facts and argument) to Hiring Coordinator, Office of the Director Legal Unit, 320 W. 4th Street, Ste. 600, Los Angeles, CA 90013 or to juribe@dir.ca.gov. DIR is an equal opportunity employer.

 

WC Defense Associate: Glendale and Brea offices of Goldman, Magdalin & Krikes, LLP seeks attorneys with minimum 5 years workers' comp defense experience, competitive salary & benefits. Submit in Word format cover letter, resume, salary history/requirements to dcaldarelli@gmklaw.com.

 

Post jobs for free in this eNewsletter. Contact Robin.E.Kobayashi@lexisnexis.com for information.

 

enewsletter archives

ArchivesTake a deep dive into our past eNewsletters for 2012 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

June 25, 2012: 26 Noteworthy Panel Decisions You Should Know About.
May 7, 2012: Economists Wanted.
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