Vol. 6, Issue 1

Find Solutions & Strategies                 January 5, 2015

Top Panel DecisionsTop 25 Noteworthy Panel Decisions:
July - December 2014
In This Issue
* TOP 25 PANEL DECISIONS
* INDEPENDENT BILLING REVIEW APPLICABILITY
* TOP 10 BIZARRE CASES
* REBUTTAL OF SCHEDULED RATING; PSYCHIATRIC INJURY
* NEWS: Physician fee schedule 2015 updates
* eNEWSLETTER ARCHIVES
A Note From the Editor
 
 
Happy New Year! Welcome to the beginning of Year Six of our  eNewsletter.
  
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Robin E. Kobayashi, J.D.
LexisNexis Legal & Professional Operations 
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50 State Workers' Comp Legislation

Expert Analysis & Commentary

Larson's Spotlight on Cases

 

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.

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.

california compensation cases

Cal Comp CasesApplicant Rebuts 16 Percent Scheduled Rating to Obtain Permanent Total Disability - Cal. Comp. Cases December Advanced Postings. Lexis.com and Lexis Advance subscribers can read it.   

 

 

 

 

Cal Comp Cases

Evaluators of Psychiatric Injury Lacked Relevant Medical Records, Personnel File, Materials From Workplace Investigation - Cal. Comp. Cases January Advanced Postings. Lexis.com and Lexis Advance subscribers can read it.

 

 

 

 

Cal Comp CasesNo Psychiatric Injury After Tripping on Balloon String - Cal. Comp. Cases January Advanced Postings. Lexis.com and Lexis Advance subscribers can read it.

california news headlines

CA: DWC Responds to Inquiries Re 2015 Update to Physician Fee Schedule.

CA: AD Announces 2015 Profile Audit Review, Full Compliance Audit Performance Standards.

CA: DWC Posts Example of End of MPN Coverage Notice.

CA: DWC Posts Revised WCIS Rules for Add'tl 15-Day Public Comment Period.

CA: DWC Issues 3rd 15-Day Notice for Modification to Proposed MTUS Rules.

CA: DWC Posts Adjustments to OMFS (Pathology, Clinical Lab Section).

CA: DIR Posts 2014 Legislative Digest, Overview of New Laws.

CA: WCIS to Form Working Group for Self-Insureds.

CA: Sean McNally Elected 2015 Chair of CHSWC.

CA: CHSWC Posts 20 Year Retrospective.

CA: Cal Chamber Explains Subcontractor Liability, Mandatory Paid Sick Leave Laws.

CA: U.S. Sup. Ct. Denies Cert. in Affinity Logistics Employee Misclassification Case.

CA: WCIRB Posts Agenda for Jan. 6 Classification & Rating Meeting.

CA: State Senator Tony Mendoza (D) to Chair Labor and Industrial Relations Committee.

CA: Governor Makes Appointments to OSHA Board, Fraud Assessment Commission.

CA: L.A. City Under Fire for Long Injury Leave for Workers.

NIOSH Examines Link Between Firefighting and Cancer.

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.
 
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