Vol. 7, Issue 17

Find Solutions & Strategies April 26, 2016

IMR Reviewer's Conclusion Contradicted by IMR Reviewer's Own Summary of Case

In This Issue

* IMR APPEAL

* PSYCHIATRIC INJURY

* WCAB JOB OPENING

* NEWS:2014 Fatal Occupational Injuries

* eNEWSLETTER ARCHIVES

A Note From the Editor

Rassp & Herlick Treatise

imr reviewer's conclusion contradicted by imr reviewer's own summary of case

Beware of UR and IMR physicians who use MTUS, ACOEM, and ODG guidelines to deny treatment when, in fact, other MTUS, ACOEM, or ODG guidelines do support an RFA from a treating physician

With commentary by Robert G. Rassp, Esq.

In Gonzalez-Ornelas v. County of Riverside, 2016 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB rescinded the WCJ's order denying the applicant's appeal of a 9/11/2015 independent medical review (IMR) determination denying authorization for Synvisc knee injections to treat the applicant's 2004 bilateral knee injury. The WCAB granted the applicant's IMR appeal pursuant to Labor Code Section 4610.6(h)(1) and (5), when the IMR determination denied authorization based upon the IMR reviewer's conclusion that there was no documentation provided to establish that the applicant was suffering from...read more.

appellate court reverses w.c.a.b. award of psychiatric injury

By Richard M. Jacobsmeyer, Esq.

The First Appellate District Court of Appeal has closed what could have turned into a significant expansion of the concept of "sudden and extraordinary employment condition" contained in Labor Code � 3208.3(d) with a reversal of a W.C.A.B. decision awarding benefits for a psychiatric injury in Travelers Casualty and Surety Co v. W.C.A.B. (Dreher). The applicant in this case, was employed as a live-in maintenance supervisor for an apartment complex and had been employed for only 74 days at the time of his injury on...read more.

wcab job opening

The Workers' Compensation Appeals Board, Office of the Commissioners, seeks candidates to fill a full-time staff attorney position.

INDUSTRIAL RELATIONS COUNSEL III (SPECIALIST)

$8,032.00 - $10,305.00 salary plus benefits...read more.

california news headlines

CA: DIR Reports 2014 Fatal Occupational Injuries.

CA: DWC Posts Workers' Comp Fact Sheets, Claim Form in Four Languages.

Uber Seeks to Settle Employee Status Lawsuits for $100M; Judge to Review Terms.

CMS Releases April 2016 Version of WCMSA Reference Guide.

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.

April 18, 2016: More UR Timeliness Nuances Decided by WCAB Panel.
April 11, 2016: Another Hurdle for Lien Claimants.
April 4, 2016: Highly Technical Time Frames Involved in Utilization Review.
March 28, 2016: Why Calif. Workers' Comp Is So Hard to Manage.
March 21, 2016: Tips to Avoid Sanctions.
CLICK HERE TO ACCESS 2010-2015 ARCHIVES.

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