Workers' Compensation

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California Workers' Comp Case Roundup (5/3/2013)
Posted on 3 May 2013 by LexisNexis Communities Staff

CALIFORNIA COMPENSATION CASES Vol. 78 No. 4 April 2013 A Report of En Banc and Significant Panel Decisions of the WCAB and Selected Court Opinions of Related Interest, With a Digest of WCAB Decisions Denied Judicial Review CONTENTS OF THIS ISSUE... Read More

California: IBR Not Applicable to Pre-1/1/13 Medical Billing Disputes
Posted on 17 Dec 2014 by Richard M. Jacobsmeyer

The 4th District Court of Appeal has issued a decision raised to it on a question on the “retroactive” application of the Independent Bill Review provisions of SB 863 and whether the legislature intended to remove from the W.C.A.B. jurisdiction... Read More

California Official Medical Fee Schedule: Another Death of the Extraordinary Circumstances Exception Post-2004
Posted on 4 Apr 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

Another WCAB panel finds that the extraordinary circumstances exception in the OMFS has died post-2004 In Garcia v. E Recycling of California, Zurich North America , 2015 Cal. Wrk. Comp. P.D. LEXIS –-, a WCAB panel rescinded the WCJ’s finding... Read More

California Official Medical Fee Schedule: The Death of the Extraordinary Circumstances Exception Post-2004
Posted on 28 Mar 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

In what appears to be a case of first impression, the WCAB panel in Jaime Torres Tavera v. T and P Farms, Zenith Insurance Company , 2015 Cal. Wrk. Comp. P.D. LEXIS --, reversed the WCJ’s finding and held instead that the extraordinary circumstances... Read More

California OMFS: Yet Another Death of the Extraordinary Circumstances Exception Post-2004
Posted on 2 May 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

A third WCAB panel finds that the extraordinary circumstances exception in the OMFS has died post-2004 In Murphy v. County of Fresno , 2015 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB rescinded the WCJ’s finding that the lien claimant Cedar-Sinai... Read More

California: The OMFS as a Maximum Fee Schedule
Posted on 29 Aug 2015 by Calif. WCAB Noteworthy Panel Decisions Reporter

Lien claimant found not entitled to excess fees In Holder v. Troy Christian Adventure Limousine , 2015 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB affirmed the WCJ’s finding that lien claimant David Payne, M.D., was not entitled to fees above those... Read More

CWCI Study Documents Ongoing Increases in Use of Network Physicians in California Workers’ Comp
Posted on 10 May 2010 by California Workers' Compensation Institute

A new California Workers’ Compensation Institute (CWCI) study shows the percentage of medical services to injured workers delivered by network physicians jumped sharply immediately after Medical Provider Networks (MPNs) were introduced into the... Read More

CA: DWC Adjusts DMEPOS Section of Official Medical Fee Schedule
Posted on 2 Jun 2010 by LexisNexis Workers' Comp Law Newsroom Staff

OAKLAND, CA - The Division of Workers' Compensation has posted an order adjusting the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) section of the Official Medical Fee Schedule to conform to changes in the Medicare payment... Read More

CA: ACIC Opposes Bill to Remove Link Between OMFS Pharmacy Services and Medi-Cal Schedule
Posted on 5 May 2010 by LexisNexis Workers' Comp Law Newsroom Staff

SACRAMENTO, CA - The Association of California Insurance Companies (ACIC) announced its opposition to AB 2593 (Assemblyman Steve Bradford (D-Inglewood)), which ACIC believes would increase pharmacy costs and drive up costs for such services. Read more... Read More

CA: WCAB Provides Guidance on Reimbursement of Lien for Repackaged Pharmaceuticals
Posted on 15 May 2010 by Robin E. Kobayashi

Ramon Mendoza v. J. Buckbinder Industry, Inc., Insurance Company of the West Liens--Repackaged Pharmaceuticals--WCAB rescinded WCJ's finding that lien claimant California Pharmacy Management was entitled to partial reimbursement of its lien for... Read More