Vol. 6, Issue 36

Find Solutions & Strategies September 8, 2015

A "Plainly Erroneous" IMR Determination

WCAB panel issues a case of first impression

In This Issue

* IMR APPEALS

* CLAIM FORM, NOTICES

* PQME; AUGUST CCC CITES

* NEWS: WCIRB: No amendment to Jan. 1, 2016 filing

* eNEWSLETTER ARCHIVES

A Note From the Editor

independent medical review appeals

Case of first impression on meaning of a "plainly erroneous" IMR determination

In McAtee v. Briggs & Pearson Construction, 2015 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB rescinded the WCJ's decision denying the applicant's appeal of an Administrative Director's independent medical review determination that Duragesic patches the applicant used to treat his 1/21/2001 industrial back injury were not medically necessary because the underlying findings of the reviewer which supported the IMR determination were mistaken...read more.

claim forms, posting notices, pamphlets

CWCI updates materials following reg changes eff. 1-1-2016

The long-awaited benefit notice regs adopted by the state last week take effect 1/1/16 and will require a number of changes to the info that employers and claims organizations must provide to workers before & after a work....read more.

california compensation cases

Split Panel Grants Applicant Another Bite at the PQME Apple: Cal. Comp. Cases Advanced Postings (9/2/2015). Lexis.com and Lexis Advance online subscribers can read it.

Cal Comp Cases

California Workers' Comp Case Roundup: August CCC Cites Now Available. Lexis.com and Lexis Advance online subscribers can read it.

california news headlines

CA: WCIRB: No Amendment to January 1, 2016 Filing.

CA: OAL Approves DWC Revised Benefit Notice Regulations.

CA: Uber Drivers Win Class Certification in Federal District Court Case.

CA: Dept. of Public Health Receives Grant to Improve Safe Prescribing of Opioids.

CA: Northern California Counties Have Highest Opioid Overdoses Statewide.

CA: Governor Trying to Broker Deal With Lawmakers on Regulating Medical Marijuana.

WEDI: Only Half of States Ready for ICD-10 Switch for Work Comp Claim Purposes.

MSP Report Examines Impact of MMSEA Section 111 Reporting Requirements.

New England Governors Urge FDA to Change Opioid Warning Labels.

eNewsletter archives

Take 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.

August 31, 2015: The OMFS as a Maximum Fee Schedule.
August 24, 2015: Exceptions to the Going and Coming Rule.
August 17, 2015: WCAB Panel Takes a Strict, Literal Approach to IMR Appeals.
August 10, 2015: Section 132a Trumps a Collective Bargaining Agreement.
August 3, 2015: Timely Utilization Review: WCAB Strictly Applies Bodam Rule.
CLICK HERE TO ACCESS 2010-2015 ARCHIVES.

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.