Workers' Compensation

Recent Posts

The Bid Day Post….And a Moment of Wonderment as the Delaware IAB Rules That UR - Certified Treatment Is Unreasonable/ Unnecessary
Posted on 13 Aug 2012 by Cassandra Roberts

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... Read More

Tags: Cassandra Roberts , reasonable and necessary , medical treatment , physical therapy , presumption , Delaware Detour & Frolic , carpal tunnel syndrome , Health Care Practice Guidelines , utilization review , Delaware Workers’ Compensation

DE: WC Adds P2P Conversation To UR Process
Posted on 17 Aug 2010 by workerscompensation.com

Dover, DE (CompNewsNetwork) - The Delaware Department of Labor, Office of Workers' Compensation, received requests from certified health care providers in the HCPS to have a "peer-to-peer" conversation with the reviewing like-specialist... Read More

Tags: peer to peer , Health Care Practice Guidelines , health care providers , utilization review

God Bless the Broken Road: Delaware IAB Rules on Major Issue of Procedure in UR
Posted on 29 Apr 2011 by Cassandra Roberts

Waiver anyone? This week's post features two cases on what I consider to be a huge procedural development in UR. A huge thank you to my friends at Tybout, Redfearn & Pell (especially Rob Greenberg and Nick Krayer) for their help in flagging the... Read More

Tags: procedure , Causal Relationship , Delaware Detour & Frolic , waiver , accepted claims , Delaware IAB , Health Care Practice Guidelines , causality , utilization review

The Bid Day Post….And a Moment of Wonderment as the Delaware IAB Rules That UR - Certified Treatment Is Unreasonable/ Unnecessary
Posted on 13 Aug 2012 by Cassandra Roberts

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... Read More

Tags: Cassandra Roberts , reasonable and necessary , medical treatment , physical therapy , Delaware Detour & Frolic , presumption , carpal tunnel syndrome , Health Care Practice Guidelines , utilization review , Delaware Workers’ Compensation

Utilization Review in Delaware: Yikes!! The Return of the Fine and (another) Deadline Blown?
Posted on 19 Jul 2010 by Cassandra Roberts

I am not sure I have all the details nor are they apparent from this recent "Motion Day" Order, but it is pretty clear to me from the ruling in Frederick Tulowitzki v. Property Advisory Services Corp. , IAB # 1334523 (7/1/10) (Order) that we... Read More

Tags: Delaware workers compensation , Case Law Developments , discovery , Jurisdiction , Health Care Practice Guidelines , deadline , utilization review