National Banner 2012 Chess Board
Vol. 3, Issue 33

Find Solutions & Strategies                            August 13, 2012

Calculator Health CostsThe Do's & Don't's of Managing Nurse Case Managers
     

Why clear & reasonable guidelines are needed

In This Issue
-NURSE CASE MANAGERS
-LARSON'S SPOTLIGHT: Third Party Tortfeasor, Intoxication Marijuana, Average Weekly Wage, Jurisdiction
-NATIONAL CONFERENCE
-BLOGS AT THE WCLC: Fraud, CA reform, MO case
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear Workers' Comp Community:

 

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

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
The Complete Guide to Medicare Secondary Payer Compliance

 1575 2011 2012

Jennifer C. Jordan, Esq.

Editor-in-Chief

 

Buy 2011 Edition

Get 2012 Edition FREE

 

2012 Edition includes:

Risk management issues

Specialty claims

State WCMSAs

MMSEA User Guide v. 3.4

CMS proposed rulemaking

& much more

 

To order, call 1-800-223-1940 

Offer expires 10/5/2012

nurse case managers

StevenBirnbaumThe Case for Clear Guidelines for Nurse Case Managers, by Steven M. Birnbaum, Esq. The cost of medical care has risen throughout our society and calls for cost control are no louder than in workers' compensation cases and Longshore cases are included in that. Thus, the insurance industry has tried a number of approaches, including the practice of employing what are called "nurse case managers." There are many and varied descriptions of the duties of "nurse case managers." A reading of Section 7 of the Longshore and Harbor Workers' Compensation Act does not mention that terminology (33 U.S.C.S. § 901 et seq., 33 U.S.C.S § 907). A good argument could be made that this specific classification of medical specialty was not even contemplated at the time of the last amendments to the Longshore Act. Read more.

Larson's spotlight: indemnity

Tom Robinson thumbnail

Crane Company Loses Right to Seek Indemnity Against Worker's Employer, by Thomas A. Robinson. Noting that a crane operator was "hoist by its own petard," a California appellate court recently affirmed a trial court's decision that Pennsylvania law, not that of California, should apply in a crane company's cross-complaint seeking indemnity against a California employer for any damages the crane company might have to pay in an underlying negligence action filed against the crane company by an injured worker. Read more about this case and other cases on intoxication & marijuana, average weekly wage, and jurisdiction.

colleen casey to speak at national workers' comp conference

LexisNexis has partnered with the National Workers' Compensation Conference to create an enhanced legal track  for attorneys and other workers' comp  professionals Nov. 7-9, 2012. View the program agenda. There are 15 members Colleen Casey of the Larson's National Workers' Compensation Advisory Board speaking at this event. You don't want to miss this conference! Take advantage of the special discount for all LexisNexis Workers' Compensation Law Community members. Community membership is free at our site. We are pleased to announce that LexisNexis editorial consultant  Judge Colleen Casey will be speaking on Causation.

blogs at the lexisnexis workers' comp law community

Fraud SignWorkers' Comp Fraud Blotter: Owner of TV Recycling Business Knew She Needed Workers' Compensation Insurance, by LexisNexis Workers' Compensation Law Community Staff. Read it     

 

 

 

Julius Young thumbnailCalifornia: A Field Guide to Comp Reform, by Julius Young, Esq. Read it

 

 

 

  

  

Julius Young thumbnailCalifornia Reform: Paradigm Shift?, by Julius Young, Esq. Read it

 

 

 

 

 

Martin KlugMissouri: Commission Pierces Corporate Veil for LLC Owners, by Martin Klug, Esq. Read it

 

national news
state news

CA: The Politics Behind the Workers Comp Reform Bill.

CA: Some Details About Changes Proposed by Workers Comp Reform Bill.

CA: Employer Groups Say Workers Comp Reform Bill Will Cut Costs.

CA: WCIRB Considers 7.6 Percent Rate Increase.

CA: DWC Seeks Nominations for Medical Guideline Advisory Committee.

CA: Ninth Circuit Says Ex-Titans Football Player Can't Pursue Calif. WC Benefits.

CA: SCIF Bans Employees From Using Phones While Driving On State Fund Business.

CO: NCCI Proposes 6.1% Loss Cost Increase Effective 1/1/2013.

IL: State Officials Challenge Ex-Arbitrator's Workers Comp Payment.

IL: Ins. Dept. Reviews NCCI's Proposed Rate Reduction of 3.8 Percent.

MA: Governor Signs Bill to Protect Temporary Workers.

NE: WCC Posts Proposed Rule Changes Re Filings, Pleadings.

NM: Widow of Heroic Off Duty Police Officer Continues Fight for Workers Comp Benefits.

NY: NYSIF Posts 2011 Annual Report.

OH: Possible Plea Deal for Met Housing Director Accused of Signing False WC Claim.

OH: Controversial Police Officer May Lose Workers Comp Benefits.

PA: PRCB Posts Manual Revisions Re General Auditing, Classification Information.

RI: DLI Posts New Maximum Compensation Rate for 2012.

TX: TDI Posts 2012 Report for Access to Medical Care in Workers Comp System.

TX: Texas Medical Association Reports 24% Decline in Physician Availability for Injured Workers.

 New York Workers Comp 2012

Order today

68805
 Order today
1430 2012 Edition

Order today

Top 25 Blogs 2011

View the honorees.

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.

 

August 6, 2012: Love it or Hate it: Medicare Secondary Payer Enforcement Is Here to Stay

July 30, 2012: Wellness Programs and Workers' Comp Costs.

July 23, 2012: Cost Shifting of Workers' Comp Expenses.

July 16, 2012: Debate Over Federal Standards to Guide Workers' Comp Systems.

July 9, 2012: Impact of Affordable Care Act on Insurance Industry.

July 2, 2012: Health Care Reform Law Upheld.

June 25, 2012: Compromising "The Great Compromise".

ACCESS 2010-2012 ARCHIVES AND ARTICLES LIST HERE.

LexisNexis and the Knowledge Burst logo are registered trademarks of Reed Elsevier Properties Inc., used under license. Other products or services may be trademarks or registered trademarks of their respective companies.

Privacy & Security Copyright © 2012 LexisNexis, a division of Reed Elsevier Inc. All rights reserved.