Workers' Compensation

Recent Posts

Dubon’s Petition for Writ of Review Denied as Moot: Cal. Comp. Cases February Advanced Postings (2/20/2015)
Posted on 21 Feb 2015 by California Compensation Cases Staff

Here’s the fifth batch of advanced postings for February 2015 issue of Cal. Comp. Cases. Lexis.com and Lexis Advance subscribers can link to the case to read the complete headnote and summary. © Copyright 2015 LexisNexis. All rights reserved... Read More

California: A Hint of Things to Come in WCAB's Re-Review of Dubon?
Posted on 23 Jun 2014 by Robert G. Rassp, Esq.

In Garcia-Picen v. Tight Quarters, Inc., the Appeals Board, in a split panel opinion, held that the WCJ incorrectly determined that the defendant’s UR of a treating physician’s request for authorization to provide viscosupplementation injections... Read More

California: WCAB Imposes Difficult Standards for Overturning a UR Decision
Posted on 1 Aug 2014 by Calif. WCAB Noteworthy Panel Decisions Reporter

The WCAB, in two recent noteworthy panel decisions, has imposed a difficult standard for applicants seeking to overturn a utilization review (UR) decision. Do these decisions signal a policy decision on the part of the Board to limit reversals of UR decisions... Read More

California: WCAB Applies Dubon in Two Noteworthy Panel Decisions
Posted on 19 Apr 2014 by Calif. WCAB Noteworthy Panel Decisions Reporter

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... Read More

California: MPN Treatment Requests Not Subject to UR/IMR
Posted on 27 Jul 2014 by Karen C. Yotis

Karen C. Yotis, Esq., a Feature Resident Columnist for the LexisNexis Workers’ Compensation eNewsletter , provides insights into workplace issues and the nuts and bolts of the workers’ comp world. Is Hogenson Du(ing) an End Run Around Dubon... Read More

California: WCAB Applies Dubon, Provides Further Guidance on Medical Records Reasonably Needed for UR Physicians to Make a Valid Determination
Posted on 5 May 2014 by Calif. WCAB Noteworthy Panel Decisions Reporter

The California WCAB has applied Dubon in two recent noteworthy panel decisions finding material procedural defects in the UR process when the defendants did not provide medical records reasonably needed for the UR physicians to make a valid determination... Read More

California: W.C.A.B. to Review Dubon Decision
Posted on 23 May 2014 by Richard M. Jacobsmeyer

The W.C.A.B. has granted for further study the Petition for Reconsideration filed by SCIF in the recently issued en banc decision in Dubon v World Restoration . The Defendant had filed the Petition for Reconsideration almost 60 days prior to the order... Read More

Independent Medical Review: A New Wave of Litigation in California
Posted on 16 Jun 2014 by Robert G. Rassp, Esq.

Recent noteworthy panel decisions show that the applicant would be wise to present all relevant medical reports and records, and citations to the MTUS, ACOEM, ODG, or other nationally accepted medical standards to the IMR reviewer, and that when a material... Read More

Crocodile Wrestling
Posted on 10 Oct 2014 by Julius Young

At a recent workers’ comp conference in Southern California, WCAB Commissioner Kathy Zalewski noted that the WCAB commissioners had been doing a bit of “crocodile wrestling” over Dubon . I’ve seen crocodile wrestling in Thailand... Read More

California: A Post-Mortem on Dubon
Posted on 31 Oct 2014 by McCarthyRob

By Rob McCarthy Maurice Abarr wants to set the record straight about what happened leading up to the Dubon II en banc decision earlier this month. He got the chance Saturday at a Van Nuys panel discussion, hosted by Lawworm.com Inc. Maurice is the... Read More

California: Can a Utilization Review Determination Exceed Its Appropriate Scope?
Posted on 11 Aug 2014 by Calif. WCAB Noteworthy Panel Decisions Reporter

With respect to the increasing litigation over the UR process, is Dubon really the issue in many of these UR disputes? Utilization Review (UR) has been around for more than ten years now. UR first came into play in 2003 when Governor Gray Davis passed... Read More

California: WCAB Panel Takes Strict, Literal Approach to IMR Appeals
Posted on 13 Aug 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

No material mistake of fact exists when IMR reviewer fails to list the actual reports and records reviewed by the IMR physician In Hacker v. County of San Bernardino-Public Health Department , 2015 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB, in a split... Read More

California: The Assault on IMR: Are the Reports of Expert Reviewers Required to Be Signed?
Posted on 1 May 2014 by Corey Ingber

By Corey A. Inger, Esq. In the recent wake of the WCAB En Banc decision in Jose Dubon v. World Restoration, Inc . (2014) 79 Cal. Comp. Cas. 313, the IMR process is being very aggressively challenged by some applicants’ attorneys, who are coming... Read More

California: W.C.A.B. Issues New, Modified Decision in Dubon
Posted on 7 Oct 2014 by Richard M. Jacobsmeyer

The divided W.C.A.B. has issued its long awaited en banc decision to the defendant’s appeal in Dubon v World Restoration and substantially modified its prior en banc holding to limit the ability of the W.C.A.B. to decide medical issues only in cases... Read More