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TX: Sunset Commission to Vote on Workers' Comp Changes Related to Physician Fraud, Abuse

AUSTIN, TX - The Texas Tribune reports that the Texas Sunset Commission is scheduled to vote next Tuesday on recommended changes to the Texas Dept. of Insurance, Division of Workers' Compensation's process of investigating fraud and abuse among doctors who treat injured workers.

TX: DWC Publishes Access to Medical Care in WC System, 1998-2008

Austin, TX (CompNewsNetwork) - The Texas Department of Insurance's Workers' Compensation Research & Evaluation Group produced a report, Access to Medical Care in the Texas Workers’ Compensation System,1998 - 2008 . The report includes information about participation and retention rates...

CA: DWC Posts Revised Draft QME Regulations For Comment

Oakland, CA (CompNewsNetwork) - The Division of Workers' Compensation (DWC) has revised selected qualified medical evaluator (QME) regulations and posted them to the online forum where members of the public may review and comment on the proposal. The proposed changes would limit a physician...

Montana Lawyers File Lawsuit To Limit Workers’ Compensation Fraud Investigation Information

Gene Jarussi and Michael Eiselein, as well as ten other Montana lawyers, are asking the Montana Supreme Court to issue an injunction to prohibit state workers' compensation investigators from sharing confidential criminal justice information, including surveillance videos, with worker's compensation...

Prescription Drug Abuse in America (Part Two) – The “P” Stakeholders

By Stuart Colburn, Esq. This is the second part of a three-part series on prescription drug abuse in America. Part One explained “the problem ”. Part Two below identifies the “P” stakeholders involved with this epidemic: Pharmaceutical Companies Physicians...

Prescription Drug Abuse in America (Part Two) – The “P” Stakeholders

By Stuart Colburn, Esq. This is the second part of a three-part series on prescription drug abuse in America. Part One explained “the problem ”. Part Two below identifies the “P” stakeholders involved with this epidemic: Pharmaceutical Companies Physicians ...

National and State-by-State Workers' Comp News Roundup Powered by Larson's (1/21/2013)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL NEWS: NCCI Posts Report on Medical Services for Claims 20 or More Years Old . Insurance Information Institute...

CWCI Finds Use of Network Physicians in California Workers’ Comp Continues to Grow

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 provided by physicians who are part of a medical network...

Successes and Failures of Fee Schedules: How Medical Providers Circumvent Fee Schedule-Related Revenue Losses

By John Stahl, Esq. Any first-semester political science major can tell you that government regulation is a common method for controlling what a business can charge for goods or services. Fee schedules provide this price control regarding workers’ compensation medical costs. Like most forms...

California: Medical Provider Network Access Standards: Three Physicians Required?

In Soto v. Sambrailo Packaging , 2016 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB held that the WCJ erred in finding that the applicant who suffered an industrial injury to her neck, back and right shoulder was entitled to treat outside the defendant’s MPN because the defendant failed to meet the statutory...

King v. CompPartners, Inc., et al.: Do Utilization Review Physicians Owe a Duty of Care to Applicants and What Is the Nature and Scope of the Duty of Care

By Raymond F. Correio, Esq. A recent decision from the Fourth District Court of Appeal, King v. CompPartners, Inc., et al. 243 Cal.App.4th 685, 80 Cal. Comp. Cases 10 , certified for publication, raises a number of provocative issues which will no doubt impact on the ongoing contentious battle between...

Physicians and Drug Companies Strike Back at Attempts to Curb Drug Costs

Are reform efforts aimed at controlling the costs of physician-dispensed drugs having the desired effect? It appears not, at least in California, Florida, Pennsylvania, Illinois, and Tennessee. In recent years, at least 20 states have made legislative or regulatory changes attempting to control the...

Following up on the Year’s Top Workers’ Comp Issues: Back to the Future

By Karen C. Yotis, Feature Resident Columnist, LexisNexis Workers’ Compensation eNewsletter Before the blogs and newswires start posting their usual “boy, wasn’t that something” year-in-review stuff, I thought it would be an interesting exercise to revisit the prophesies that...