Workers' Compensation

Recent Posts

California Medical Provider Networks: Another Aspect of SB 863 Needing Judicial Oversight
Posted on 4 Apr 2014 by Dr. Richard Dorsey, MD

Another aspect of SB863 needing judicial oversight is the failure of the MPNs to assist patients in obtaining appointments with in-network treating psychiatrists, while denying payment to non-network psychiatrists as "self-procured". Instead... Read More

CWCI Tracks Use of Network Physicians in California Workers’ Comp and Associated Savings
Posted on 10 Jun 2015 by California Workers' Compensation Institute

Use of network physicians to manage California injured workers’ medical care rose from just over half of all claims prior to the introduction of medical provider networks (MPNs) to nearly 80 percent of all claims after MPNs were fully implemented... Read More

California: Liability for Self-Procured Treatment Outside the Medical Provider Network
Posted on 28 May 2013 by Calif. WCAB Noteworthy Panel Decisions Reporter

A California WCAB panel recently held that while liens may be disallowed for medical treatment procured outside the defendant's Medical Provider Network, the applicant himself is not personally liable to the lien claimants pursuant to Labor Code §... Read More

CWCI Finds Use of Network Physicians in California Workers’ Comp Continues to Grow
Posted on 18 Mar 2013 by California Workers' Compensation Institute

Treatment by network physicians is becoming increasingly prevalent in California workers’ compensation, with new data showing that nearly 80 percent of first-year physician-based outpatient medical services for 2010 California work injuries was... Read More

California W.C.A.B. Affirms Prior Valdez Decision
Posted on 29 Sep 2011 by Richard M. Jacobsmeyer

When it rains it pours... Having just issued an en banc decision yesterday on QME panel issues, the W.C.A.B. has just issued its 3rd Reconsideration decision in Valdez v Warehouse Demo Services . The original decision issued in April 2011 holding... Read More

California: A Medical Provider Network Conundrum: The Second Opinion Process
Posted on 24 Nov 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

In Bautista v. Arlon Graphics , 2015 Cal. Wrk. Comp. P.D. LEXIS --, a split panel WCAB affirmed the WCJ’s finding that the applicant machine operator with a 4/6/2014 admitted industrial injury to his ribs, pulmonary system, lumbar spine, and right... Read More

CAAA 2013 Winter Convention Begins With a Focus on Medical Treatment Control, Expedited Hearings, and MPNs
Posted on 28 Jan 2013 by David Bryan Leonard

By David Bryan Leonard, Esq. The 2013 California Applicant’s Attorney’s Association (CAAA) winter convention commenced January 24, 2013, in San Diego, California. This has been the first large CAAA convention since the implementation of... Read More

CWCI Schedules Online Seminar on New MPN Regs and Other Recent Regulatory Revisions
Posted on 6 Aug 2014 by California Workers' Compensation Institute

The California Workers’ Compensation Institute (CWCI) has scheduled an online seminar for Thursday, September 18 to educate workers’ compensation claims and medical professionals, attorneys and other members of the community on revised regulations... Read More

California: New Medical Provider Network Regulations: It's a New Medical Treatment Paradigm
Posted on 7 May 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

The 2004 workers’ compensation reform package of SB 899 brought about many changes as to how employers were required to provide medical treatment to injured workers. (Publisher’s Note: Citations link to lexis.com; bracketed citations link... Read More

California: The RFA as well as the Accompanying Documentation Must Be Considered
Posted on 31 May 2018 by LexisNexis Workers' Comp Law Newsroom Staff

Recently, a panel of commissioners with the Workers’ Compensation Appeals Board (WCAB) addressed a medical treatment dispute where the question was what documentation had to be considered by the claims adjuster in reviewing a treatment request ... 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

Defendant Hired Applicant in His Capacity as Homeowner and Not as Part of His Rental Property Business: Cal. Comp. Cases January Advanced Postings (12/29/2015)
Posted on 29 Dec 2015 by California Compensation Cases Staff

Here are the latest advanced postings for the January 2016 issue of Cal. Comp. Cases. Lexis.com and Lexis Advance subscribers can link to the case to read the complete headnotes and summaries. © Copyright 2016 LexisNexis. All rights reserved... Read More

California: Stipulation to Treatment Outside a Medical Provider Network
Posted on 30 Jan 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

In Shawl v. Steve’s Automotive , 2015 Cal. Wrk. Comp. P.D. LEXIS --, a split WCAB panel rescinded the WCJ’s decision and held that the applicant, who incurred an industrial injury to multiple body parts on 3/7/2001, was entitled to continue... Read More