Workers' Compensation

Recent Posts

The Top 10 Bizarre Workers’ Compensation Cases for 2015
Posted on 3 Jan 2016 by Thomas A. Robinson

Last November, I had the pleasure of speaking at the 24th Annual National Workers’ Compensation and Disability Conference in Las Vegas. My session was a spin-off of what has become one of my most popular annual blog offerings—a presentation... Read More

Tags: life flight , terror , horseplay , active shooter , course and scope , arising out of , medical expenses , course of employment , Suicide , gunman , sex offender , PTSD , assault , bizarre , bystander , rick of the neighborhood , covered employee , interpreter , attack , marijuana , Workers compensation , Internet , alcohol , off duty , medically necessary

Self-Procured Surgery Not Found Medically Reasonable or Necessary: Cal. Comp. Cases October Advanced Postings (9/22/2015)
Posted on 22 Sep 2015 by California Compensation Cases Staff

Here’s the latest batch of advanced postings for the October 2015 issue of Cal. Comp. Cases. Lexis.com and Lexis Advance subscribers can link to the case to read the complete headnotes and summaries. © Copyright 2015 LexisNexis. All rights... Read More

Tags: post termination , medical treatment , death claim , presumption , California workers compensation , surgery , rebuttal , timely , medically necessary

New CWCI Study Looks at Independent Medical Review Outcomes in California Workers’ Comp
Posted on 25 Apr 2015 by California Workers' Compensation Institute

A new analysis of independent medical review decisions issued in 2014 suggests that the medical dispute resolution process mandated by the workers’ compensation reform bill enacted in 2012 is working to assure that the treatment provided to California... Read More

Tags: evidence-based medicine , diagnostic tests , medical dispute resolution process , physical therapy , IMR , opioids , California workers compensation , injections , UR , SB 863 , durable medical equipment , utilization review , prescription drugs , compound drugs , independent medical review , medically necessary

California: Independent Medical Review Appeals: The Shape of Things to Come
Posted on 16 Aug 2014 by Calif. WCAB Noteworthy Panel Decisions Reporter

Workers’ Compensation Judges are starting to see appeals of IMR decisions where the parties are raising very interesting arguments at conferences and trials. We expect to see quite a few noteworthy panel decisions in the coming months outlining... Read More

Tags: homemaker services , treating physicians , IMR , Appeals , California Constitution , California workers compensation , home health care services , SB 863 , prescriptions , independent medical review , medically necessary

West Virginia: State Regulation Denying Reimbursement for In-Office Treatment for Heavy Metal Illness Declared Invalid
Posted on 13 Feb 2015 by Larson's Spotlight

An injured worker’s medical expenses related to intravenous chelation therapy performed in a medical office should have been paid by the employer in spite of a specific state regulation [see WV. Code of St. Rules 85–20–62.2] that precluded... Read More

Tags: toxic exposure , heavy metal toxicity , peripheral neuropathy , chelation therapy , West Virginia workers compensation , in-office treatment , toxicology , medically necessary