Six more medical providers have been suspended from operating in the state workers’ comp system by the California Division of Workers’ Compensation. These new suspensions bring the total suspended medical providers to thirty-eight. These suspensions stem from last year’s Assembly Bill 1244, which took major steps to reduce fraud in the workers’ comp system. The […]

Just a couple of weeks ago, a large-scale workers’ comp fraud ring was discovered in Southern California. More than two dozen doctors, pharmacists and business owners in California are now facing insurance fraud charges in a $40 million fraudulent workers’ compensation medical billing and kickback operation uncovered by federal, state, and local regulators. Defendants Tanya […]

Focusing on the “Forgotten” Aspects of Workers’ Comp Most of the focus of various workers’ compensation studies are on the back-end of workers’ comp. Meaning the studies on medical costs, the litigation process, indemnity cost trends, loss adjustment and medical cost containment expense, prescribing practices, provider abuse and quite a few other topics. These are […]

Attack on the Constitutionality

Attack on the Constitutionality of Independent Medical Review A second California Court of Appeal district has now ruled that an independent medical review (IMR) is constitutional. That’s the decision made in the March 29, 2017 California Court of Appeal Third Appellate District case of Daniel Ramirez v. WCAB. In a certified opinion, Justice Cole Blease, […]

Bizarre Workers’ Comp Case

Back in 2013, a case was presented where a worker’s injuries were caused by his intoxication and not by the concrete slab he fell on. The Longshore Act provides that no compensation shall be payable if the injury “was occasioned solely by the intoxication of the employee” [33 U.S.C.S. § 903(c)]. In 2013, the Ninth […]

2016 Workers’ Comp in Review

With 2016 in the rear-view mirror, it’s time to take a look at the Top 10 developments in California workers’ comp during 2016. The Division of Workers’ Compensation regulatory activity continued, although at a slower pace than prior years. 2016 was a relatively slow year for workers’ comp in the California appellate courts. Many California […]

Workers’ Comp Wear and Tear

A large-scale study on the total of California cumulative trauma claims has been released by the California Workers’ Compensation Institute (CWCI). These CT claims are essentially occupational wear and tear claims and include occupational disease claims. As pointed out by the report, California does not have limitations on these claims that many other states impose. […]

A deposition is your statement about how you got injured, treatment and how your injury has affected your life. It is a statement under oath, which means that you will swear to tell the truth under penalty of perjury. You could be criminally libel if you do not tell the truth. You are probably wondering […]

Protecting Your Rights

Recently a new client brought in paperwork he had received prior to retaining me from his employer’s insurance company.  I read through the letters he received and saw that the insurance company had scheduled a QME appointment for the injured worker. QME is a qualified medical examiner who is a physician who evaluates your injuries when […]

What to do when in a Car Wreck?

If you are injured in a car wreck it is important to contact an experienced personal injury attorney as soon as possible. Car wrecks are very common in the United States and most of the time car wrecks are caused by human error. One minute your life is going along well, the next you’re in a […]