top 25 noteworthy panel decisions: july - DECEMBER 2014 |
LexisNexis has picked the top "noteworthy" panel decisions issued by the California Workers' Compensation Appeals Board during the period July through December 2014. You'll find many helpful cases in this list, including a recent decision on reasonable attorney's fees, and "bonus" cases on the issue of utilization review as it applies to prescription medications and the granting of a defendant's appeal of an IMR decision based on plainly erroneous findings that are not subject to expert opinion. We thank our advisory board members for their feedback on current topics and issues of interest to the workers' compensation community. Note: Lexis.com and Lexis Advance subscribers can link to the actual WCAB panel decisions. We've reported thousands of noteworthy panel decisions to date on the LexisNexis Services. Lexis online users should subscribe to our monthly noteworthy panel decisions reporter, available in PDF format, to keep abreast of the latest trends and cutting edge case law. Read the top 25+ list here. |
ibr not applicable to pre-1/1/13 medical billing disputes |
By Richard M. Jacobsmeyer, Esq.
The 4th District Court of Appeal has issued a decision raised to it on a question on the "retroactive" application of the Independent Bill Review provisions of SB 863 and whether the legislature intended to remove from the W.C.A.B. jurisdiction to address bill disputes that existed prior to the effective date of SB 863 (January 1, 2013). In C.I.G.A. v. W.C.A.B. (Elite Surgical Ctr.), the court ruled the legislature did not wrap up medical billing disputes that existed prior to 1/1/13 into the newly created IBR process and that the W.C.A.B. continues to have jurisdiction to resolve those disputes. The court also found the process used by the WCJ and adopted by the W.C.A.B. to determine the appropriate fee in...read more.
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NATIONAL: top 10 bizarre workers' comp cases for 2014 |
Thomas A. Robinson, J.D., our Feature National Columnist, is a leading commentator and expert on the law of workers' compensation.
For the past five or six years, I've shared with readers my annual list of bizarre workers' compensation cases for the prior year. In doing so, I reenact, at least in part, a tradition that my mentor, Arthur Larson, and I shared prior to his death some years ago. Each January, Arthur and I would meet in Arthur's home on Learned Place, near Duke University's campus and review our respective lists of unusual or bizarre workers' compensation cases reported during the previous 12 months. Usually our respective lists would overlap a bit, but he'd always have several with truly quirky fact patterns that I had missed. One thing we always kept in mind: one must always be respectful of the fact that while a case might be bizarre in an academic sense, it was intensely real. The cases...affected real lives...read more. |