Featured Articles from the Blog

HOW DO I OBTAIN MEDICAL TREATMENT IN MY WORKERS’ COMPENSATION CASE?

Injured workers ask this question on a daily basis. What might surprise you is that many workers’ compensation doctors ask themselves the same question concerning their patients. The legislature has implemented laws that often provide a road block to medical treatment. Denials of medical treatment force limitations on doctor’s treatment plans. It is wise to ask for help in dealing with denials of medical treatment before it is too late! As indicated in previous blogs, Utilization Review (UR) and Independent Medical Review (IMR) have made obtaining medical treatment much more difficult for workers. UR treatment denial decisions are made by insurance company hired doctors/practitioners. Unless that denial is untimely, the… Read More »

The Value of Medical Bills

Medical bills have become a huge issue in almost all personal injury cases. The reason for this is twofold. First in many instances the injured party must repay the entity that paid the bills. Some entities are very strict and demand large paybacks even when the settlement is small. Other companies have liens and amounts set by law. Examples of the latter are Medicare, MediCal and hospital liens. In some instances the entity may argue they are entitled to the entire amount of the settlement. These are usually ERISA liens. The job of the attorney in these cases is to minimize the amount paid to the entity so the client… Read More »

Workers’ Compensation: Medical Treatment Denied!

Workers’ compensation patients are entitled to medical treatment for their on the job injuries according to the California State Constitution and Labor Code. But why are injured workers treated like second class citizens when it comes to getting medical treatment that their doctors recommend? Legislative changes in 2012 (SB 863) took away injured workers’ rights to have a say in their medical treatment for workers’ compensation injuries. Injured workers are 39 times more likely to be denied medical treatment for workers’ comp injuries than patients using group health plans. Appeals of the denials go to anonymous, non-examining, state-appointed medical panels (death panels?) who have final say on what treatment workers’… Read More »