California Banner 2012 Chess Board
Vol. 4, Issue 21

Find Solutions & Strategies                                May 28, 2013

Caduceus DollarSelf-Procured Treatment Outside the MPN
 
What if the applicant didn't intend to self-procure at his own expense?
In This Issue
* SELF-PROCURED TREATMENT OUTSIDE MPN
* BLOG POSTS: Vocational Expert evaluation, Facebook and WC Fraud
* NEWS: Modified proposed interpreter service rules
* JOB POSTINGS
* eNEWSLETTER ARCHIVES

A Valuable Research Tool

Work Comp Index  

By James T. Stewart
  
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A Note From the Editor

Robin Kobayashi 2010  

Dear Work Comp Community:     

 

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Sincerely,

Robin E. Kobayashi, J.D.
LexisNexis Legal & Professional Operations
Medical Report Seminar
WorkCompCentral Education thumbnail
 
Essential Guide to Writing Medical Reports; Meeting Post SB 863 Standards
  
Instructor: WCJ Colleen Casey
  
June 1-2, 2013
  
Camarillo, CA
  
self-procured treatment outside MPN

This noteworthy panel decision will be added soon to the LexisNexis Services.

  Sneak Peek  

Liability for Self-Procured Treatment Outside Medical Provider Network. A WCAB panel recently held that while liens may be disallowed for medical treatment procured outside the defendant's Medical Provider Network, the applicant himself is not personally liable to the lien claimants pursuant to Labor Code 4605 when he "did not intend" to self-procure medical treatment outside of the MPN. Given that the lien claimants are subject to the exclusive jurisdiction of the WCAB, it would appear that they would not have any avenue with which to recover so long as the applicant "did not intend" to self-procure. Read more.

 

We report 40 to 60 noteworthy panel decisions each month on the LexisNexis Services Subscribe to the Calif. WCAB Noteworthy Panel Decisions Reporter (PDF format with xlinks to lexis.com and Lexis Advance).

 lexisnexis blog posts

Cal Comp CasesCompelling Applicant's Evaluation by Vocational Expert: Cal. Comp. Cases May Advanced Postings. Lexis.com and Lexis Advance subscribers can read it

  

   

Fraud SignFacebook Helps Convict Dog Groomer: Workers' Comp Fraud Blotter. Read it and other news items.

neWS HEADLINES

CA: Modified Proposed Interpreter Services Rules.

CA: Eliminating Delays in Processing PQME Requests.

CA: Latest IMR Decisions Posted.

CA: SB 863 Adjustments to QME Writing Course.

CA: DWC Annual Ethics Report.

CA: CorVel Allowed to Remove Doctor From MPN.

CA: SB 439 Would Clarify Legality of Medical Marijuana.

Physician Fee Schedules Limitations re Surgery.

Physician Dispensed Meds Increased in 2011.

PEOs and 3 Recent Work Comp Insurer Insolvencies.

ACA and Health Care Delivery/Finance/Insurance Reforms.

Terrorism and Workers Comp: Al Qaeda's "Come Back".

U.S. Economic Stabilization: Impact on P/C Insurers.

Medical Cost Containment, First Responders Trends.

"Balloon Theory" Warns of Pressure on Residual Market.

NCCI Posts Residual Market State Activity Reports.

Op Ed Explores Problems With Legalizing Marijuana.

Experts Debate Over How to Safely Sell Marijuana.

legalese
Legalese 
job postings

Defense Attorney. Bradford & Barthel is looking to add another attorney for our newest office in Los Angeles. Bradford & Barthel, a leader in Workers' Compensation Defense, is seeking dynamic, diverse candidates who thrive in an environment with multiple opportunities for growth. We offer competitive benefits in a collegial, diverse atmosphere. Contact sbradford@bradfordbarthel.com.

 

Dept. of Industrial Relations. $4,674 to $10,477/month DOE. Litigate a variety of labor and employment matters at admin. and civil trial and appellate levels including, workers' comp., prevailing wage/public works, and public employment. Travel throughout SoCal may be required. Send a State Application (Form STD 678) with a resume and 2 recent writing samples to: DIR, Office of the Director - Legal Unit, Attn: Hiring Coordinator, 320 W. 4th St., Ste. 600, Los Angeles, CA 90013, or by email to juribe@dir.ca.gov.

 

Associate Attorneys, Legal Assistants. Workers' Compensation defense firm located in Los Angeles (mid-Wilshire) is seeking associate attorneys, and legal assistants who can assist in Lien Negotiations. Some experience preferred but willing to train. Also, seeking Attorneys for Orange County office, located in Anaheim. Salary + Benefits include 401k, health and dental, parking, Profit Sharing. Please email your resume (PDF) via jvilla@hay-fel.com or via fax at 213-385-9511 Attention: Maribeth.

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.

May 20, 2013: AME/PQME Quagmire on Determining Medical Necessity Post SB 863.
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