|
|
|
|
|
|
Find Solutions & Strategies November 24, 2014 |
|
 W.C.A.B. Publishes New UR Timeliness Decision
Each step of UR process must be timely, not just the end result |
|
|
Happy Thanksgiving! |
I wish everyone a wonderful Thanksgiving holiday.
Join our community today. Sign up here for our free eNewsletter.
LexisNexis Legal & Professional Operations
|
| Attn: Risk Managers, Insurance & HR Professionals, Attorneys |
50 State Legislation for 2014
Expert Analysis & Commentary
Larson's on Interesting Cases
Purchase now at special discount rate of $79.50 + tax + shipping
|
|
| W.C.A.B. Publishes new ur timeliness decision |
By Richard M. Jacobsmeyer, Esq.
 The W.C.A.B. has issued a Significant Panel Decision reaffirming its language in Dubon v. World Restoration (Dubon II) regarding the W.C.A.B.'s ability to determine medical issues where UR is not completed in a timely fashion and also provided a detailed discussion as to the necessary steps for UR to be timely. In Timothy Bodam v. San Bernardino County/Dept of Social Services, the Board, in denying a Petition for Removal from defendant from an order to develop the record on the issue of applicant's need for surgery, ruled that timeliness of UR is an issue for the W.C.A.B. to determine and if UR is not timely, the W.C.A.B. has jurisdiction to decide the issue of medical necessity. In determining if UR is timely, the W.C.A.B. also determined that each individual element of the step by step process for UR must be timely, not just the end result...read more.
|
 |
|
telemedicine and the injured worker |
WCAB finds injured worker, now residing in Nevada, entitled to further medical treatment in form of telephonic therapy
With commentary by Robert G. Rassp, Esq.
 In Oranje v. Crestwood Behavioral Health, 2014 Cal. Wrk. Comp. P.D. LEXIS --, a WCAB panel affirmed the WCJ's finding that an applicant who suffered an admitted industrial injury to her left arm, left hand and psyche on 3/14/2010 in California but now lives in Nevada, was entitled to further medical treatment in form of counseling, including "telephonic therapy" with California marriage and family therapist (MFT) Chris Jones...read more.
|
|
|
mccool |
By Julius Young, Esq.
 Can an insurer submit medication prescription requests to utilization review (UR) even where those medications have been repeatedly authorized before? That question has been hotly debated in California workers' comp circles after a recent WCAB Significant Panel Decision, Patterson v. The Oaks Farm (2014) 79 CCC 910. The issue comes up again and again in cases, including cases of workers injured decades ago. The scenario goes like this. Medications are approved, sometimes for years without question. But emboldened by the availability of UR and the 2013 advent of Independent Medical Review dispute resolution procedures, the insurer...read more.
|
|
 |
 |
|
california compensation cases | |
 Psyche Injury Known to Exist Prior to Issuance of Stipulated Awards Was Not New and Further Disability: Cal. Comp. Cases December Advanced Postings (11/18/2014). Lexis.com and Lexis Advance subscribers can read it.
|
|
eNewsletter archives |
Take 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.
|
|
|
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 © 2014 LexisNexis, a division of Reed Elsevier Inc. All rights reserved. |
|
|
|
