National Banner 2012 Chess Board
Vol. 4, Issue 25

Find Solutions & Strategies                             June 24, 2013

Caduceus DollarAmbulatory Surgical Centers
 
What we know & don't know about them
In This Issue
-AMBULATORY SURGICAL CENTERS (ASCs)
-ASC FAST FACTS
-LARSON SPOTLIGHT: Surveillance, Workers' Comp Insurance, Retaliatory Discharge, Reduction of Benefits
-WORKERS' COMP BLOGS: Jurisdiction of Football Players, Fraud
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From the Editor
Robin Kobayashi 2010
Dear Work 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
ambulatory surgical centers

Stahl, JohnAmbulatory Surgery Centers: Rapid Growth and Lack of Oversight in California, by John Stahl, Esq. Concern regarding the relatively little public information about heavily utilized ambulatory surgery centers (ASCs) in California prompted the California HealthCare Foundation to research ownership statistics and other data regarding these facilities that service rapidly increasing numbers of workers' compensation claimants, Medicare and Medicaid recipients, and general healthcare patients. The Foundation published its findings in a report titled "Ambulatory Surgery Centers: Big Business, Little Data." Read more.

2010 ASC statistics (Source: cms)

State with the highest number (11.63) of operating rooms in freestanding ambulatory surgical centers per 100,000 population: Maryland.

 

State with the lowest number (0.32) of operating rooms in freestanding ambulatory surgical centers per 100,000 population: Vermont.

 

States at the top of the list: 6.01 to 12 operating rooms in freestanding ASCs per 100,000 population: AZ, DE, FL, ID, IN, MD, MS, NV, TN, WA, WY.

 

States at the bottom of the list: 0 to 3 operating rooms in freestanding ASCs per 100,000 population: DC, HI, KY, MA, ME, MI, NM, NY, VA, VT, WV.

 

States in the middle range: 3.01 to 6 operating rooms in freestanding ASCs per 100,000 population: All other states.

larson's on surveillance

Tom Robinson thumbnailSurveillance Video Rejected When Not Disclosed to Claimant Prior to Testimony, by Thomas A. Robinson, JD. The claimant sustained a work-related injury in 2007 and was awarded workers' compensation benefits. At a 2011 hearing, the Workers' Compensation Law Judge continued benefits pursuant to a temporary total disability and-at the request of the employer and its workers' compensation carrier-questioned claimant as to whether he had engaged in any work activities that might affect his compensation award. Immediately after the WCLJ finished these questions, the carrier raised the issue of whether claimant had violated Workers' Compensation Law § 114-a, and requested an opportunity to present surveillance video and the testimony of its investigator. Read more about this case and other cases on Workers' Comp Insurance, Retaliatory Discharge, and Reduction of Benefits.

lexisnexis community blogs

Richard JacobsmeyerCalifornia W.C.A.B. Rules on Labor Code § 3600.5(b) Exemption, by Richard M. Jacobsmeyer, Esq. The W.C.A.B. has once again entered the hot button world of professional sports with another en banc decision, this time addressing the issue that it punted upon in the recently issued McKinley v. Arizona Cardinals decision (punted as the issue was not ripe for decision in this matter). Read it. 

 

 

Fraud SignWorkers' Comp Fraud Blotter: Base Stealing Former Cop Rounding Third and Heading for Home in Jail. Read it and other news items. 

national news
State news

AK: WCB Team Reports on Rising Medical Costs, High Premium Rates.

AK: Governor Appoints Michael O'Connor to Workers' Comp Board.

AR: NCCI Reports -7.4% Overall Loss Cost Level Change.

CA: AB 76 Would Make RTW Fund Apply to Injuries On or After 1/1/2013.

CA: CHSWC Posts Briefing on AB 1373 Safety Officer Cancer Death Benefit.

CA: CHSWC Posts Study re Access to Medical Treatment for Injured Workers.

CA: Worker Occupational Safety and Health Posts June 2013 Report.

CA: DWC to Hold Hearing for RBRVS-based Physician Fee Schedule.

CA: DWC Appoints Kenneth B. Peterson to Workers Comp Ethics Advisory Committee.

CA: WCIRB Summarizes Highlights of Industry Results, SB 863 Discussion.

CA: WCIRB Posts Presentation re Calif Work Comp System.

CA: AB 1309 Will Force Injured Workers to Seek SSD, Medicare Treatment.

IL: IWCC Revises Preferred Provider Program Form.

IN: WCB Explains Changes to Workers' Comp and Occupational Diseases Act.

IN: WCB Explains Carriers' Use of State Form 55310.

KY: Workers' Compensation Nominating Commission Names Three Attorneys.

LA: Governor Signs HB 728 re Choice of Physician, Suspension of Benefits.

LA: Governor Signs HB 450 re Associate Medical Director Position.

NY: WCB Announces Mandatory Forms re Updated Medical Treatment Guidelines.

NY: Cuomo Seeks to Shake Up GOP-Led Workers' Comp Board.

NY: WCB Files Emergency Rule re IME Reports to Extend Expiration Date to 9/1/2013.

NY: Senate Passes S.3131 re Acupuncture Treatment of Injured Workers.

ND: WSI to Send Employers Nearly $160M in Premium Credits.

OR: WCD Updates Benefit Rates Based on Annual State AWW for 2012.

SC: WCC Approves Model Order re Sealing of Records.

TX: Billing/Reporting Changes for Physical, Occ. Therapy, Speech Pathology Eff. 7/1.

TX: DWC Posts Safety and Health Update June 2013.

TX: DWC Posts Draft re Guidelines for Legal Services to Claimants, Carriers.

TX: DWC Posts Reminder re Pharmacy Informal, Voluntary Network Registration, Reporting.

VA: WCC Issues Rule Changes re Filing, Requirements of Medical Records.

WV: Court Reverses Award for Bilateral Carpal Tunnel.

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.

June 17, 2013: Generic Drug Pricing Transparency.

June 10, 2013: Opioid Management Strategies.

June 3, 2013: Women on the Verge: Menopause Symptoms in the Workplace.

May 28, 2013: Union Carve Outs.

May 20, 2013: Update From the Benefits Review Board.

May 13, 2013: Killing Our Workers.

May 6, 2013: Oklahoma Opt Outs and ERISA.

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 © 2013 LexisNexis, a division of Reed Elsevier Inc. All rights reserved.