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Vol. 4, Issue 16

Find Solutions & Strategies                               April 22, 2013

File FilmThe Element of Surprise as an Ex Parte Communication
In This Issue
* ELEMENT OF SURPRISE
* UNREASONABLE DELAY
* KIDS' CHANCE CALIFORNIA
* BLOGS: Medical History, CWCI Scorecard, Legalized Marijuana, Fraud
* NEWS: Auidit Unit investigates violations of electronic billing rules
* eNEWSLETTER ARCHIVES

A Note From the Editor

  Workers Memorial Day CC

Dear Work Comp Community:     
 

In commemoration of Workers' Memorial Day, April 28, this issue is dedicated to the first responders and workers who lost their lives in Boston and West, Texas.

 

Help support Kids' Chance of California to provide educational opportunities for the children of workers seriously injured or killed on the job.

 

To receive our free, weekly eNewsletter, sign up here. Read past eNewsletters here.

 

Sincerely,

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

Mark KahnThe Element of Surprise as an Ex Parte Communication, by Mark L. Kahn, Esq. Attorneys cannot surprise the other side and show "information" (films or vocational reports) to AME at cross-examination as it is an ex-parte communication in violation of Labor Code section 4062.3 because the parties must agree on what "information" is to be provided to an AME. In the case of Trapero v. North American Pneumatics, 2012 Cal. Wrk. Comp. P.D. LEXIS 541, the WCAB came to this exact conclusion. Read more.

unreasonable delay

Penalty Flag"The Labor Code does not permit a defendant to bury its head in the sand in order to dodge its obligations." In The Romano Trust v. The Kroger Co., 2013 Cal. Wrk. Comp. P.D. LEXIS --, a WCAB panel declared it had rarely encountered a case in which a defendant "has exhibited such blithe disregard for its legal and ethical obligation to provide medical care to a critically injured worker." In Romano, the WCAB panel affirmed the WCJ's award of multiple 25 percent penalties under LC 5814 and attorney's fees under LC 5814.5 for defendant's 11 separate instances of unreasonable delay or denial of medical care to the applicant who incurred industrial injuries to various body parts on 12/20/2003 and in the form of MRSA, which ultimately led to his paralysis and death on 5/2/2008, when...read more to access the decision.

 kids' chance of california

Kids' Chance of California is a non-profit charitable organization whose mission is to provide need-based educational scholarships to the children of California workers who have been fatally or seriously injured on the job. In 2010 there were over 464,000 workplace injuries in California, resulting in 302 deaths. Serious work-related accidents can have a devastating impact on families, especially children. Read more to find out how to help.

lexisnexis community BLOGS
Cal Comp Cases
Duty to Develop Record When Inadequate Medical History Regarding Applicant's Marijuana Use: April Cal. Comp. Cases Advanced Postings. Lexis.com and Lexis Advance subscribers can read it.     
  
  
  

CWCICWCI Scorecard Examines California Workers' Comp "Other Injury, Poisoning & Toxic Effect" Claims. Read it. 

  
  
  
   
Cannibis
Understanding the Concept of "Legal Impairment": Legalized Marijuana in the Workplace, by John Stahl, Esq. Read it.
  
  
       
    

Fraud SignWorkers' Comp Fraud Blotter: Former NY Giants Player Indicted for $1.5M Insurance Fraud Scheme. Read it and other news items.  

 

 

 

neWS HEADLINES

CA: DWC to Hold May 7 Meeting to Discuss IMR, IBR Communications.

CA: DWC Posts WCIS Administrative Penalty Regulations for Public Comment.

CA: DWC Posts Revised Benefit Notice Rules for Public Comment.

CA: DWC Audit Unit Begins Investigating Violations of Electronic Billing Rules.

CA: Retired Pro Athletes Protest Bill That Would Clamp Down on Filing WC Claims in Calif.

CA: Audit Finds Los Angeles Has Poor Tracking System for WC Overpayments.

CA: WCIRB Provides Guidance re Audit Requirements for Dual Wage Classifications.

CA: SB 588 Would Change Rates for Copy Service Charges.

CA: Ex-OC Sheriff Carona Agrees to $22K Settlement of Workers Comp Claims.

Unclear if Boston Marathon Bombings an Act of Terrorism Covered by TRIA.

Insurance Expert Says Boston Raises Important Questions About TRIA.

West Texas Fertilizer Plant Last Inspected by OSHA in 1985.

West Fertilizer Blast Spurs Risk Management, Insurance Discussion.

Clinic Wins Class Certification in Coventry Workers' Comp Dispute.

Defense Base Act AWW Case Appealed to U.S. Supreme Court.

April 26 Symposium Scheduled to Celebrate US DOL 100 Year Anniversary.

NCCI Posts FAQs for Terrorism Risk Insurance Act (TRIA).

NCCI Posts Issue Analysis of Current Terrorism Risk Insurance Program.

Reed Group Acquires ACOEM's Practice Guidelines.

Progressive Medical Releases 2013 Drug Trend Report.

enewsletter archives

ArchivesTake a deep dive into our past eNewsletters for 2013 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

April 15, 2013: More About Lien Activation Fees.
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