We have all had experience with Primary Treating Physicians (PTP) that operate a little bit on the lazy side with respect to their PR-2 Reporting. Often times this laziness takes the form of “cut &…
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Medicare Set-Asides (MSA) play a key role in successful workers’ compensation settlements, but their complex terminology and involvement of federal regulations can be daunting for even longtime practitioners. What is a MSA? Think of a…
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The costs of underwriting California workers’ compensation claims are increasing due to cumulative trauma claims and other factors, according to recent reporting from the Workers’ Compensation Insurance Ratings Bureau and the Commission on Health and…
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A recent unpublished Court of Appeal decision discussed the application of an often-misunderstood rule in workers’ compensation: The “premises line rule.” The case, Wrenne v. JA Sutherland, Inc., involved the death of an employee at…
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This is the second of a two-part article regarding workers’ compensation fraud. In Exhibit “A”, we learned about the relative rarity of classic surveillance catches and wandered into the teeth of California Insurance Code section…
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(Editor’s note: This is the first of a two-part series regarding workers’ compensation fraud. In Exhibit “A”, we will look at the reality of surveillance videos and highlight California Insurance Code section 1871.4 as an…
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When determining whether a psychiatric impairment may be compensable, it’s important to understand the “violent act” exception. In a previous article, “If Everything Is Catastrophic, Is Anything?“, we explored the “catastrophic injury” exception under Labor…
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Understanding the “Catastrophic” Exception for Post-2013 Psych Claims “Psyche claims are where medicine, law, and human nature all walk into the same courtroom—and only one of them leaves making perfect sense.” — Don Barthel Back…
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