Vol. 6, Issue 3

Find Solutions & Strategies                 January 20, 2015

Ambulatory Surgical Center Payments Versus Hospital Outpatient Payments
In This Issue
- AMBULATORY SURGICAL CENTER PAYMENTS
- LHWCA ATTORNEY FEES
- LARSON'S SPOTLIGHT: Deviation, Positional Risk, Depression, Exclusive Remedy
- DRUG TEST, OCCUPATIONAL RISK, CAUSATION
- NATIONAL & STATE NEWS
- eNEWSLETTER ARCHIVES
A Note From the Editor
  
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Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
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ambulatory surgical center payments versus hospital outpatient payments

An interstate comparison and analysis

 

Roger Rabb, J.D., Special Correspondent for the LexisNexis Workers' Compensation eNewsletter

 

Although the common perception may be that using an Ambulatory Surgical Center (ASC) will save money compared to using a hospital for outpatient surgery, that may not always be the case. In fact, the results can vary greatly from state to state. That was the lesson to be learned at a December 2014 webinar sponsored by WCRI, Interstate Comparisons of Ambulatory Surgical Center (ASC) Payments. During the webinar, presenter Dr. Bogdan Savych discussed two primary issues involving ASC payments, first looking at variations in payments to ASCs from state to state and discussing what may account for those variations, then looking at how payments to ASCs varied from payments to hospitals in the same state for the same outpatient surgeries...read more.

lhwca attorney fee shifting after lincoln v. director, owcp

(Everywhere but the 9th Circuit)

 

By Monica Fekete Markovich, Esq. and Alexandra Wood, Esq.

 

At the outset of a Longshore and Harbor Workers' Compensation Act ("LHWCA," 33 U.S.C.S. § 901 et seq.) claim, only the claimant may bear any responsibility for the payment of his attorney's fees. The LHWCA includes a fee-shifting arrangement which allows for the payment of a claimant's attorney's fees by the employer or carrier under specific circumstances, all of which require that the claimant's attorney meet statutory requirements, including successfully prosecuting the disputed issues. 33 U.S.C.S. § 928(a), (b). If the specific requirements of the statute are not met, the claimant's attorney's fees remain only the responsibility of the claimant and may not be transferred to the employer or carrier...read more.

LARSON'S SPOTLIGHT ON RECENT CASES

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

  

Kentucky: Divided Supreme Court Draws Distinction Between Deviations in Work Performance and Those During Personal Comfort Activity. A divided Supreme Court of Kentucky held that injuries sustained during a paid break by an office worker, when she was hit by a car as she crossed a street in front of her employer's premises did not arise out of and in the course of her employment because.. .read more.

 

South Carolina: Supreme Court Moves Close to Positional Risk Standard in Hallway Fall Case. The Supreme Court of South Carolina, moving ever so close to a positional risk standard, reversed a decision by the state's Court of Appeals, holding that an office employee could recover benefits for injuries sustained when she fell as she walked down an...read more.

 

Hawaii: Worker's Depression Caused by "Misperception" of Work Event, Not the Event Itself. Where an employee's claimed "psychological condition" was the result of his "misperception of various events and communications" and "was not caused or aggravated by work but was entirely imported by [the employee] into the workplace," the employee did not sustain a...read more.

 

Federal: Workers' Civil Action Against Employer Related to Chemical Release Can Continue Toward Trial. A civil action filed against BP Products North America, Inc. ("BP") by more than 500 plaintiffs-including some 315 employees-in connection with an accidental chemical release by the refinery may continue toward trial, held a federal district court in Texas...read more.

lexisnexis legal newsroom blogs

Martin KlugMissouri: Commission Doesn't Believe Employer That He Requested a Drug Test, by Martin Klug, Esq. Read it

 

 

 

 

Martin KlugMissouri: Toilet Dispenser Attacks Worker, by Martin Klug, Esq. Read it.

  

 
  
 
 
Raymond CorreioCalifornia: Rolda Reloaded: A Creative Approach to the Dual Causation Elements of the Rolda Multi-Level Analysis, by Raymond F. Correio, Esq. Read it.
national & state news

President Obama Signs Six-Year Extension of TRIA.

President Obama Unveils Plan for Family Leave, Sick Days for Workers.

Liberty Mutual 2014 Workplace Safety Index Lists Top 10 Causes of Workplace Injuries.

NIOSH Examines Increased Risks of Birth Defects From Workplace Exposures.

No Smoke, No Smell Marijuana e-Cigarettes Can Be Used Anywhere.

Aon's Health Care Workers Compensation Barometer Makes Projections for 2015.

AK: WCD Posts New Mileage Reimbursement Rate.

AR: Governor Appoints Douthit to Workers Compensation Commission.

CA: WCIRB Report Shows Continued Increase in Claim Frequency.

CA: WCRI: Physician Dispensers Continue to Charge Much More Than Pharmacies.

CA: Court of Appeal Accepts VIAW's Amicus Brief in Stevens Case.

CA: Temp Worker Nurse Stuck in Calif. for 3 Years for Workers Comp Purposes.

CA: CalChamber Provides Analysis of Governor's 2015-16 Budget.

CO: DLE Adopts Shoulder, Thoracic Outlet Syndrome Medical Treatment Guidelines.

DE: OWC Posts Final Version of Rule Changes Related to Fee Schedules.

FL: US DOL, FL Dept. of Revenue Sign Agreement to Reduce Employee Misclassification.

ID: IC Elects New Chairman.

ID: IC Posts Changes to Records Request Procedures.

ID: IC Posts Latest Rule Amendments for 2015 Legislative Session.

IL: High Court to Rule on Appellate Bond in State Treasurer's Lawsuit Against IWCC.

IL: WCRI: Physician Dispensers Continue to Charge Much More Than Pharmacies.

IN: WCB Explains 2015 Second Injury Fund Assessments.

IA: Ex-Director Accused of Improperly Influencing ALJs in Workers Comp Cases.

KY: Governor Reappoints Long to Workers Comp Funding Comm. Board of Directors.

LA: LWC: State Rate of Nonfatal Workplace Injuries Better Than National Average.

MI: Governor Signs SB 211 Firefighter Cancer Presumption.

MO: DWC Posts 2014 Annual Report.

MT: LMAC Reviews 2015 Bill Proposals.

MT: Dept. of Labor Posts New Mileage Reimbursement Rate.

NV: DIR to Hold Workshop on Provider Reimbursement Recommendations.

NJ: Governor Nominates Three Workers' Compensation Judges.

NJ: LWD Announces New Process for Adjournment, Ready Hold Forms.

NM: ACI Sets Legislative Agenda for Workers' Comp Reform in 2015.

NY: NYWCIRB Posts Revised Pension Tables Eff. 1-1-2015.

NC: IC Posts Guidance on Provisional Form 25PR, Preauthorization Review.

OK: Defense Lawyers Decry Dist. Court Ruling as Dismantling Grand Bargain. 

OK: Widower of Beheaded Employee Receives Death Benefits.

OK: WCC Issues Alert for Emergency, Permanent Rule and Form Changes.

OR: Prefiled Bill Would Create Employee Misclassification Task Force.

OR: WCD Posts Proposed Changes for Medical Fee, Payment Rules.

OR: WCD Posts Corrected Cost-to-Charge Ratio for Out-of-State Hospitals.

OR: WCD Posts Updated List of Registered Voc Rehab Providers.

PA: Court Denies Comp Benefits for Ex-Senate Aide for Fall at Holiday Party.

SC: WCC Posts Latest Net Present Value Tables.

TX: DWC Finalizes Form 230 Surety Bond for Assumed Certified Self-Insurance Liabilities.

TX: Governor Appoints Mattax as Insurance Commissioner.

TX: House Committee Recommends Study of Businesses Going Bare on Workers Comp.

TX: House Committee Recommends Study of Impact of Employee Misclassification.

TX: House Committee Recommends Transferring PDMP to State Board of Pharmacy.

TX: DWC Provides Update on New OSHA Reporting Requirements.

ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2015 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

Jan. 12, 2015: WCRI Study Strikes Serious Blow to Physician-Dispensed Strong Opioids.

Jan. 5, 2015: Top 10 Bizarre Workers' Comp Cases for 2014

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