LexisNexis® Legal Newsroom
"Let Me Super-Size That”.....Unsuccessful UR Appeal in Delaware for 400 lb. Missouri Resident

Okay, so turnabout is fair play. My last post highlighted a win by claimant attorney Mike Galbraith. Mike shared with me two cases, only one of which merited a profile. The other case was also a "Mike victory" and some informal discussion about that other case on Circle of Friends [my email...

The Proverbs 31 Post....and a Little Utilization Review Round-Up in Delaware

"She opens her mouth with wisdom, and on her tongue is the law of kindness." Proverbs 31:26. Today's post is a little self-therapy. I always strive to be the quintessential Proverbs 31 woman, and while I invariably fall short, at least on occasion I am a wanna-be. Today, however, I am sad...

Work Loss Data Institute Warns of Fox Guarding the Hen House in State Treatment Guidelines

By John Stahl, Esq. Phil LeFevre, who is a Senior Account Executive, with the Work Loss Data Institute (WLDI) spent much of a recent webinar entitled “Emerging Trends in Workers’ Comp Treatment Guidelines by State: Has the Fox Been Left to Guard the Hen House” comparing the Official...

Absence Makes the Heart Grow Fonder In This Delaware Utilization Review Appeal

So here is the sub-title: IAB Denies Employer's UR Appeal Despite Lack of Testimony from Claimant's Treating Doctor. Pretty catchy, huh? Props this week to claimant attorney Michael Galbraith who flagged for my interest the case du jour. Before I read this case, issued by the Board last week...

Absence Makes the Heart Grow Fonder In This Delaware Utilization Review Appeal

So here is the sub-title: IAB Denies Employer's UR Appeal Despite Lack of Testimony from Claimant's Treating Doctor. Pretty catchy, huh? Props this week to claimant attorney Michael Galbraith who flagged for my interest the case du jour. Before I read this case, issued by the Board last week...

The Bid Day Post….And a Moment of Wonderment as the Delaware IAB Rules That UR - Certified Treatment Is Unreasonable/ Unnecessary

Today is auspicious for two reasons. First it is "Bid Day" at Auburn University. Picture above is my Sweet Caroline (in the white eyelet dress) offering a "bid" to her little sister. And another great Gamma Phi Beta tradition continues....... Talking about traditions, one was...

The Bid Day Post….And a Moment of Wonderment as the Delaware IAB Rules That UR - Certified Treatment Is Unreasonable/ Unnecessary

Today is auspicious for two reasons. First it is "Bid Day" at Auburn University. Picture above is my Sweet Caroline (in the white eyelet dress) offering a "bid" to her little sister. And another great Gamma Phi Beta tradition continues....... Talking about traditions, one was...

California: WCAB Applies Dubon in Two Noteworthy Panel Decisions

Two noteworthy panel decisions issued by the WCAB provide further guidance on the Independent Medical Review process in light of the Dubon en banc decision. In the first case, the WCAB affirmed the WCJ’s finding that the defendant’s utilization review denials of the applicant’s request...