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Vol. 5, Issue 38

Find Solutions & Strategies                           September 22, 2014

WCAB Says MPN Treatment Requests Are Subject to UR/IMR
  
In This Issue
* MPN/UR/IMR
* O*NET/CHRONIC DISEASE
* MEDICARE SET-ASIDES
* SUDDEN & EXTRAORDINARY
* NEWS: DWC revises proposed copy service fee schedule regs
* RASSP & HERLICK: Now completely rewritten!
* eNEWSLETTER ARCHIVES
A Note From the Editor
Join our community today. Sign up here for our free eNewsletter.
  
  
Robin E. Kobayashi, J.D.
LexisNexis Legal & Professional Operations 
What Do Orange County WC Judges Expect?  
  
Saturday, Oct. 11
9 a.m. - 1:30 p.m.
Anaheim Plaza Hotel
  
Attend a half-day event about emerging issues & practice tips for the Anaheim and Santa Ana boards. Led by Presiding Judges Norm Delaterre and Jamie Spitzer.
  
4 MCLEs, free parking, continental breakfast, and Q&A with Orange County's PJs.
  
Hosted by Lawworm.com. Check the website for program and registration info.
  
wcab says mpn treatment requests are subject to ur/imr

Legislature did not demonstrate an intent to preclude employers from seeking UR of MPN physicians' requests for authorization of medical treatment

 

Includes commentary by Robert G. Rassp, Esq.

 

Robert Rassp grayIn Stock v. Camarillo State Hospital, 2014 Cal. Wrk. Comp. P.D. LEXIS --, a WCAB panel held that the defendant's utilization review (UR) determination of a request for authorization for a hospital bed submitted by a treating physician in the defendant's medical provider network (MPN) was admissible over the applicant's objection that the report should not be admitted on the basis that the defendant was not permitted to contest any medical treatment prescribed by MPN physicians...read more.

new arthritis study shows O*net could help predict chronic disease

Thomas A. Robinson, J.D., our Feature National Columnist, is a leading commentator and expert on the law of workers' compensation.

 

Tom Robinson thumbnail

A recent study points to a positive and consistent relationship between O*NET ratings of physical job demands and the risk of contracting arthritis later in life. Importantly, the study also demonstrates the utility of using such O*NET job descriptors to estimate the long-term risks of contracting other chronic diseases and conditions when no actual exposure data is available. Evidence has long suggested that...read more.
ncci's research brief on medicare set-asides and workers' compensation

The NCCI report is an interesting look into Gould & Lamb's client base and MSA practices, but it may not be representative of MSAs prepared by the industry as a whole 

 

Includes commentary by Jennifer C. Jordan, Esq.

  

Jen Jordan March 2010 thumbnail

NCCI has recently examined the demographics related to MSAs (distributions of amounts of MSAs and total settlements that include MSAs; distributions of ages of claimants) and the aspects of the CMS review process (length of time from submission to CMS approval; relation between submitted and CMS-approved MSA amounts). Overall, NCCI finds a decline in CMS' processing time for MSAs, this after a...read more.

 california COMPENSATION CASES

Cal Comp CasesGuillain-Barre Syndrome Not Deemed Sudden and Extraordinary Employment Condition: Cal. Comp. Cases September Advanced Postings (9/18/2014) Lexis.com and Lexis Advance subscribers can access the cases here.

california news headlines

CA: Governor Vetoes AB 2271 Anti-Discrimination Against Unemployed.

CA: Governor Signs AB 1634 Re OSHA Civil Penalties for Abatement.

CA: DWC Revises Proposed Copy Service Fee Schedule Regs.

CA: DWC Updates Physician Fee Schedule FAQs re DMEs.

CA: DWC Posts Adjustments to OMFS Physician/Non-Physician Services.

CA: DWC Posts Adjustments to OMFS DMEPOS.

NCCI Examines Medicare Set-Asides and Workers Compensation.

NCCI to Recommend More Decreases in Workers Comp Rates for States.

OSHA Issues Final Rule for Injury Reporting of Hospitalization, Amputation, Loss of Eye.

DOL Awards $10.2M to Fund Workers Misclassification Detection Enforcement Activities.

Gulf Oil Spill: Missing Comma After Workers' Compensation May Leave Open Coverage Liability.

Rassp & herlick: completely rewritten & reorganized - 3 year overhaul finished!

We are pleased to announce that all chapters in this two-volume set on California Workers' Compensation Law are now completely rewritten and updated with the latest SB 863-related changes. Updates for customers are shipping now. Read the flyer. 

 

Not a Rassp & Herlick subscriber yet? To order, contact Judi Dunham-Matias at 1-937-247-8179 or Judith.P.Dunham@lexisnexis.com. 

 

 

enewsletter archives

ArchivesTake a deep dive into our past eNewsletters for 2014 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.
 
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