|Ninth Circuit Court Upholds California's SB 863 Requirement For Lien Holders To Pay $100 Activation Fee|
By Courthouse News Service - June 30, 2015
The Ninth Circuit upheld California's requirement Monday that holders of workers' compensation liens pay a $100 activation fee to keep their legacy liens alive.
Signed into law in 2012, California passed Senate Bill 863 to combat an acute "lien crisis" in the state's workers' compensation system.
Health care providers have the right to file liens for payment of their services against an award made in favor of an injured worker. Even if the injured worker does not prevail in a workers' compensation case, medical-legal lien claimants can still obtain payment as long as the expenses are proven credible and valid.
|New Decision Helps In Filing Negligence In Transportation Claims To Save Work Comp Costs|
By Theodore Ronca - June 30, 2015
A new decision, “Pasternack, Tilker et al, LLP”, 2d Dept. (6/10/2015) helps transportation companies with vehicle collisions which also involve a workers compensation claim. Often, the driver files for workers’ compensation and seeks the advice of a lawyer. The workers’ compensation firm accepts the work comp claim, but declines to pursue a negligence claim. If the negligence claim is pursued, the final result can be a much smaller workers compensation claim and substantial recoveries from a third party responsible for the accident. However, if the negligence claim is not pursued the employer will be, through its carrier, the only one paying.
|Sim Hoffman, M.D. Case Of Workers’ Compensation Billing Fraud In Orange County Hangs On Coat Tails of Kareem Ahmed and Landmark Medical. Still No Ruling From Court Of Appeal. |
By Lonce LaMon - June 25, 2015
As of yesterday morning, June 24th2014, there was still no answer from the Court of Appeal, Fourth Appellate District, Division Three in Orange County on the issues presented to that court in a Writ of Mandate ordered by the California Supreme Court on behalf of the defense in the case of The People versus Kareem Ahmed, the CEO of Landmark Medical Management, and the 15 other defendants.
This case which has been filed in Orange County Superior Court with two separate indictments is cumulatively about 200 million dollars in workers’ compensation fraud. A 25 million dollar portion of that 200 million dollar total involves payments by Ahmed to physicians as incentives to prescribe Ahmed’s illegally manufactured compounded medications to workers’ compensation patients.
|California Temporary Total Disability Rates Announced For 2016|
By Lonce LaMon - June 25, 2015
The 2016 minimum and maximum temporary total disability (TTD) rates for California workers' compensation benefits will increase on January 1, 2016.
The minimum TTD rate will increase from $165.49 to $169.26 and the maximum TTD rate will increase from $1,103.29 to $1,128.43 per week.
Labor Code section 4453(a)(10) requires the rate for TTD be increased by an amount equal to percentage increase in the State Average Weekly Wage (SAWW) as compared to the prior year. The SAWW is defined as the average weekly wage paid to employees covered by unemployment insurance as reported by the U.S. Department of Labor for California for the 12 months ending March 31st in the year preceding the injury. In the 12 months ending March 31, 2015, the SAWW increased from $1,095.70 to $1,120.67—an increase of just under 2.2789 percent.
June 22, 2015 - CWCI Reports California Workers' Comp Benefits Will Increase In 2016
June 18, 2015 - California DWC Issues Second 15-Day Comment Period for Workers’ Compensation Benefit Notice Regulations
June 18, 2015 - California DWC Posts Adjustments to Official Medical Fee Schedule (DMEPOS)
June 17, 2015 - Liberty Mutual Not Leaving Workers’ Compensation Market, Just Changing Strategies.
June 15, 2015 - California Workers' Compensation Premium Volume Up 11% From 2013 To 2014. Up $4.5 Billion From Cataclysmic Recession Low Of 2009.
June 12, 2015 - Important Corrective Notice: Network Claims Systems, Inc. & Network Claims Systems-North, Inc.