DWC Issues Formal Proposal For Med-Legal Fees

The Division of Workers’ Compensation is moving forward with a formal proposal to give the state’s qualified medical evaluators (QMEs) a 25% pay raise – their first pay increase in well over a decade. Informal drafts previously circulated for public comment are highly controversial, generating hundreds of pages of comments. The formal proposal maintains much … Read More »

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New Workers’ Comp Agreements With Tribes

Gov. Jerry Brown signed new tribal compacts with three bands that will give the tribes greater leeway to create their own “workers’ comp” programs, and a fourth commits the tribe to the state’s workers’ comp system. The workers’ comp provisions are part of revised deals covering tribal gaming operations. The new agreements are with the … Read More »

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CIGA Ordered To Reinstate Previously Authorized Nurse Case Manager Services

Difficult applicant or not, the California Insurance Guarantee Association should not have cut off the services of a nurse case manager to one of its covered claimants. That’s the word from the Workers’ Compensation Appeals Board in a significant panel decision penned by newly appointed Commissioner Katherine Zalewski. The case, Patterson v. The Oaks Farm/CIGA, stems … Read More »

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Court Tosses Pro Player’s Workers Comp Claim

Workers’ compensation defense attorneys are hailing a recent Second District Court of Appeals decision that reels in the Workers’ Compensation Appeals Board’s overzealous application of California jurisdiction to claims by out-of-state professional athletes. The ruling overturns a WCAB decision to retain jurisdiction over a workers’ comp cumulative trauma (CT) claim filed by a former Women’s … Read More »

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Court Orders WCAB To Consider Apportionment In 100% PD Case

A California Court of Appeal is ordering the Workers’ Compensation Appeals Board (WCAB) to revisit a case where it ignored evidence that much of an injured worker’s permanent disability was non-occupational in nature and a significant portion of what was occupational stemmed from a prior injury. The court told the WCAB and workers’ comp judge … Read More »

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WCAB Decision Expands Employer Liability

A recent Workers’ Compensation Appeals Board panel decision is causing angst among those in the payer community who fear that no matter how well they monitor claims and conduct utilization review, employers may still end up on the hook for thousands of dollars in unnecessary expenses. In this case, the employer is required to pay … Read More »

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