Key Legislative Committee Gets Down to Business

As the California legislative session gets under way and the deadline approaches for bill submission, Workers’ Comp Executive provides its readers with a member profile of the two primary committees for workers’ comp legislation — Assembly Insurance Committee and Senate Labor and Industrial Relations Committee. Workers’ comp will be a topic of lively discussion, but members … Read More »

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Division of Workers’ Compensation Mulls Dedicated Lien Unit

It’s being called an interesting idea, but it hasn’t taken flight. Rather than judges adjudicating numerous liens that populate the workers’ comp system, why not establish a separate unit to review their legitimacy? “From an [Electronic Adjudication Management System] standpoint, we’re getting so many liens in the system [that there is a special task force] … Read More »

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Roundup (17)

      EAMS Backlog Changes Although the Division of Workers’ Compensation is being hampered by the ever-expanding worker furloughs that now total three full days per month, officials say a newly implemented task force convened to deal with a backlog of paperwork at the Workers’ Compensation Appeals Board district offices is making progress (see … Read More »

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Ancient Liens Cause Costly Claims Backup

Claims adjusters are battling against a scourge of 5-, 10- and even 20-year-old bills that show up on their desks long after a case has been settled. The ancient bills can range from $50 to $150,000 a year for adjusters, and frequently demand a balance above fee schedule, adjusters say. It becomes a juggling act … Read More »

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Claims Adjusters Allegedly Conspiring with Lien Collectors Busted

Investigators from the Orange County District Attorney’s Office say a fraud perpetrated by claims adjusters, who were conspiring with the owner of a lien collection company to fraudulently settle liens, has been broken up. The scheme began to unravel when a hospital attempted to collect on a legitimate lien that investigators say the suspects had … Read More »

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Employers, Applicants, Labor Start the Bill Ball Rolling

California legislators have rolled out a list of bills addressing everything from penalties for failure to carry workers’ comp coverage to discrimination in claims. Many are at a cost to taxpayers. Some bills such as self-insured group transparency remain in spot form awaiting more specific language. Here is a list: AB 933, authored by Paul … Read More »

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X-Mod Inflation

Medical containment costs — dollars that go to bill review, utilization review and other services to keep the actual medical expenses in check — are inflating (read: increasing) your and/or your clients’  X-Mods. But is the process unfair to employers? One prominent attorney says it is and is pushing the California Department of Insurance and the … Read More »

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EAMS Hearings Draw Sparse Attendance

The Division of Workers’ Compensation’s proposed regulations to implement a “paperless” case management system drew barely a handful of commenters in spite of two different public hearings—one in Los Angeles and another in Oakland. “I thought we might get more comments than what we did,” says Susan Gard, chief of legislation and policy for DWC. … Read More »

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