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Supreme Court Grants Review of Drug Fee Schedule Dispute

The Pennsylvania Supreme Court has granted review of disagreement over the proper prescription drug fee schedule for resolving workers’ compensation disputes. In January, the Commonwealth Court held that Red Book values…




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Employer Can Schedule 2nd IME With New Doctor but Must Prove Reasonableness

The Idaho Supreme Court ruled that an employer is not required to use only one physician to evaluate a discrete injury, but it has the burden of proving the reasonableness of…




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DWC Updates Hospital, ASC Fee Schedule

The California Division of Workers’ Compensation on Friday announced additional changes to the hospital outpatient department and ambulatory surgical centers section of the Official Medical Fee Schedule to align with…




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Amended Bill Would Allow Employers to Deny Time Off for 'Business Necessity'

California employers could deny an injured worker’s request for time off to get medical treatment for business necessity, under a recently amended bill. Sen. John Laird, D-Santa Cruz, on Monday amended…




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Safety Regulators Remind Employers to Protect Workers From Smoke

The California Division of Occupational Safety and Health reminds employers of the requirement to protect their workers from unhealthy air as wildfires in the southern part of the state fill…




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WCIRB Governing Committee Reviews Bills, Rules, Cases at Next Meeting

The Governing Committee for the Workers’ Compensation Insurance Rating Bureau will review pending legislative, regulatory and judicial actions during a Sept. 25 meeting. Committee members will hear reports on the annual…




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DWC Updates DMEPOS Fee Schedule

The California Division of Workers’ Compensation posted an order updating the fee schedule for durable medical equipment, prosthetics, orthotics and supplies for the fourth quarter. The division said it adopted Medicare’s…




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Employer Gets Relief From Default in Dispute Over Comp Premiums

A California appellate court ruled that an employer was entitled to relief from its default in a dispute over allegedly unpaid workers’ compensation premiums. Case: Creditor’s Adjustment Bureau Inc. v. Bathe,…




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DWC Opens Second 15-Day Comment Period for Pharmacy Rules

The California Division of Workers’ Compensation opened a second 15-day comment period on a proposal to incorporate Medi-Cal’s reimbursement rules into its pharmacy fee schedule. In addition to technical corrections, the…




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DWC Adopts Medicare Changes to Hospital, ASC Fee Schedule

The California Division of Workers' Compensation posted an order updating the hospital outpatient department and ambulatory surgical centers section of the Official Medical Fee Schedule. The division in October posted an…




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Federal Court Again Rules Contractor Has Immunity From Worker's Claim

A federal appellate court has again ruled that a contractor was immune from civil liability for injuries suffered by an employee of a crane company it hired. Case: Hall v. SAC…




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Lawmakers Approve 2024 Fee Schedule

The Oklahoma Workers’ Compensation Commission announced that state lawmakers have approved the updated 2024 Medical Fee Schedule. The state House of Representatives voted 94-1 to pass House Joint Resolution 1035 in…




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Court Upholds Worker's Entitlement to Additional Treatment, AWW Calculation

The Arkansas Court of Appeals upheld a determination that a worker was entitled to additional treatment for a foot injury, as well as the Workers’ Compensation Commission’s calculation of her…




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Regulatory Preamble Can Support Award of Black Lung Benefits

A federal appellate court ruled that an administrative law judge did not err in relying on a regulatory preamble to support an award of black lung benefits to a veteran…




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DOL Proposes Indoor, Outdoor Heat Safety Rules

The U.S. Department of Labor released a proposed rule that would require employers to develop an injury and illness prevention plan to control heat hazards in workplaces affected by excessive…




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Bill Would Allow Treatment by Physician Assistants, Nurse Practitioners

Physician assistants and nurse practitioners would be authorized to treat injured federal workers under a bill being debated in the U.S. House of Representatives. HR 618, by Rep. Tim Walberg, R-Mich., would add…




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CMS Holding Webinar on Reporting Rules

The U.S. Centers for Medicare and Medicaid Services is holding a reporting webinar Sept. 12. The program will cover best practices and reminders for non-group health plans that are required to…




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No Benefits for Poultry Plant Worker's Injuries from Unexplained Fall

The Virginia Court of Appeals upheld the denial of a poultry processing plant worker’s claim for injuries from an unexplained fall. Case: Gutierrez v. Perdue Farms Inc., No. 0176-23-2, 05/21/2024, unpublished. Facts:…




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Worker Gets Benefits for Shoulder Injury From Slip and Fall

The Virginia Court of Appeals upheld a finding that a worker suffered an injury to his shoulder when he slipped and fell on a patch of ice. Case: Uninsured Employer’s Fund…




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Supreme Court Upholds Authorization of Pain Management Consultation for Worker

The West Virginia Supreme Court upheld the authorization of a pain management consultation for an injured worker. Case: Murray American Energy Inc. v. Stapel, No. 22-923, 08/01/2024, published. Facts: Sean Stapel worked…




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Supreme Court Upholds Expansion of Worker's Claim to Add Shoulder Injury

The West Virginia Supreme Court upheld the expansion of a worker’s claim to add a shoulder injury. Case: Gibson v. Blackhawk Mining LLC, No. 23-178, 08/01/2024, published. Facts: Timothy Gibson worked for…




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Comp Division Seeks Comments on Independent Medical Exam Rules

The Colorado Division of Workers’ Compensation is holding a meeting to discuss a preliminary draft of updated rules for the independent medical examination process. Draft rules that the division is considering…




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DWC Proposes Rules to Implement HB 2468

The Texas Division of Workers’ Compensation on Friday proposed rules for designated doctor procedures and requirements for lifetime income benefits to implement House Bill 2468. HB 2468, which was enacted in…




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Nonsignatory Can't Compel Arbitration of Wrongful Death Claim

A Texas appellate court ruled that a nonsignatory to an agreement could not compel arbitration of a family’s wrongful death claims despite its purported adoption of an occupational injury benefit…




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DWC Announces Rule Adoption

The Texas Division of Workers’ Compensation announced the adoption of new and revised rules governing dispute resolutions, settlements and commutations. The DWC said it eliminated regulatory references to penalties for certain…




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DWC Seeks Comments on Telemedicine Rules

The Texas Division of Workers’ Compensation seeks public comments on draft rules that would allow doctors to use telemedicine to perform maximum medical improvement examinations. “For example, when a treating doctor treats…




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Comp Division Proposes Changes to Pharmacy Benefit Rules

The Texas Division of Workers’ Compensation posted proposed changes to its pharmacy benefit rules that remove obsolete provisions and update reference language for consistency with other regulations. “When the rules were originally adopted,…




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DWC Seeks Comments for Routine Rule Review

The Texas Division of Workers’ Compensation is accepting comments on three sections of the Texas Administrative Code as part of a periodic review of its rules and regulations. The division is…




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DWC Accepts Comments on Rule's Title Change

The Texas Division of Workers’ Compensation is accepting comments on a proposal to correct a duplicate regulatory section title. The DWC is proposing to rename Texas Administrative Code Section 147.10 “Commutation…




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DWC Proposes Rule to Verify Benefit Recipient Information

The Texas Division of Workers’ Compensation proposed rules to ensure that the agency is notified of an employee’s death before the Subsequent Injury Fund issues a lifetime income benefit payment. The…




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DWC Updates Employer Forms, Changes Rule Title

The Texas Division of Workers’ Compensation announced regulatory action to update employer forms and change the title of a rule. The division said it revised employer notice forms to conform to…




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WCB Accepts Comments on Proposed 2025 Fee Schedule

The Alaska Workers’ Compensation Board is accepting comments on its proposed 2025 Medical Fee Schedule. The board said system users can submit written comments on the proposed changes through Oct. 9…




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DOL Announces $164,814 Settlement With Poultry Facility Over Fatal Accident

The U.S. Department of Labor announced that it settled with a Mississippi poultry facility, requiring the company to pay $164,814 in fines and implement enhanced safety measures to protect workers from…




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Court Upholds Commission's Method for Determining Worker's AWW but Vacates Calculation

The Maryland Appellate Court ruled that the state Workers’ Compensation Commission used an appropriate methodology to calculate a worker’s average weekly wages but miscalculated the amount by relying on an improper…




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Adult Family Home Owner Accused of Double Dipping

The Washington State Department of Labor and Industries announced that a woman who ran an adult family home while claiming she was too injured to work is facing a felony…




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2015 Physician's Fee Schedule Update

What has changed for physician billing for 2015, new conversion factors, updated regulations, dispute resolution trends.




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2015 Facility Fee Schedule Update

Recent changes to both Inpatient and Outpatient facility billing for 2015.




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2015 Emerging Fee Schedule Issues

Current problems being experienced by providers and payers in workers’ compensation.




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2015 Copy Service Fee Schedule

Learn the fundamentals of the new 2015 Copy Service Fee Schedule. Understand how things are defined, what services are bundled, and when services are not payable. This class is important…




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Medical Information Every Lawyer and Judge Should Know

This four-hour seminar will present the terminology and application of the AMA Guides to common parts of body injured in work related injuries. Many WPI ratings are missed or…




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Methods for Obtaining Highly Accurate Impairment Rating Results

Master an understanding of CA Work Comp impairment rating. Join Dr. John Alchemy, MD, QME, CIME, founder and CEO of RateFast (www.Rate-Fast.com) and Impairment Rating Specialists (www.pr4report.com), for an exclusive…




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California Legislative, Regulatory, and Angelotti Update

Workers' compensation defense attorney John P. Kamin will recap the highlights from this year's legislative session during this one-hour webinar. Kamin will also bring you up to date on the…




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2016 Physician Fee Schedule Update

Effective January 1, 2016 every reimbursement amount changes in the Physician's Fee Schedule. Attend Sue Honor's webinar broadcast to understand these widespread changes. Time for Q&A with Sue Honor will…




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2016 Clinical Lab and Drug Test Fee Schedule Update

Suzanne Honor-Vangerov, CPC, CPC-I, CMSP presents this "2016 Clinical Lab and Drug Test Fee Schedule Update" via webinar. Critical updates, vital solutions and time for Q&A will be provided.




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Cross Examining Medical Professionals & Cumulative Trauma Litigation

"Cross Examining Medical Professionals & Cumulative Trauma Litigation" is an all-day program devoted to legal and medical-legal issues that defense attorneys are confronted with in every day practice.




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2017 Medical Legal Fee Schedule Basics Update

In this program, Suzanne Honor-Vangerov provides an update for the 2017 Medical Legal Fee Schedule. This course will cover how to properly bill for medical-legal services, the DWC's interpretation of…




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2017 Outpatient Surgery Center Fee Schedule Update

In this program, Suzanne Honor-Vangerov discusses changes to payment methodology, changes to definitions, and changes to payment multipliers as well as updated tables. Workers' compensation professionals who work with the…




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2017 Physician's Fee Schedule Update

Suzanne Honor-Vangerov presents a program discussing the vital changes for 2017 including conversion factors, types of covered services and what is reimbursed. This course will benefit all who are involved…




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2018 California Formulary Webinar

This session will outline some of the initial stakeholder repercussions from the perspective of treatment providers, payer and utilization review and project what the next few weeks and months have…




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Work Comp Matters - Episode 106: Saul Allweiss

This week on Work Comp Matters, Steve, Ted, Mike & Guest, Saul Alweiss (Workers Compensation Extraordinaire Attorney), discuss alternative dispute resolution, workers compensation carveouts, dealing with opposing counsel, evaluating evidence,…