September 6, 2022 When Labor Code Sections 4060, 4061, 4062, 4062.1 and 4062.2 were enacted, the panel Qualified Medical Evaluator (QME) process was supposed to be simpler and less costly. As is often true, the legislation did not necessarily achieve its intended purpose. While the number of QMEs on a case may have diminished, the litigation has not necessarily decreased. We are seeing panel “wars” and the disputes involve much more than just preferred panel specialty. How many panels does […]
News & Knowledge
Category: Newsletters
August 23, 2022 The WCAB must ground its decisions in substantial evidence. We practitioners must review medical-legal reports and any doctor’s depositions to ensure the medical record, when read as a whole, constitutes substantial evidence. If a review of the report and the entire record suggests that a judge cannot reasonably support a determination, then it is the practitioner’s role to develop and execute the strategy to remedy the issue. Preparing for a Successful Medical-Legal Evaluation A successful medical-legal evaluation […]
June 3, 2022 LFLM is proud to share our new LFLM June 2022 Workers’ Compensation Newsletter Our Articles in this edition of the Newsletter: Utilization Review Denials v. Utilization Review Deferrals Ever since utilization review (UR) became a mandatory requirement for all medical treatment requests, there have been numerous attempts to challenge not only individual UR determinations and the timeframes in which they have to be made, but the entire UR framework itself. Usually, these challenges came in the context […]
June 1, 2022 There have been significant changes in workers’ compensation regulations and guidelines recently that have arguably increased the value of claims. In April 2021, The California Department of Industrial Relations, Division of Workers’ Compensation’s (DWC) new medical-legal fee schedule went into effect. The new fee schedule drastically increases medical-legal costs and may prompt defendants to consider whether early settlement may be more cost-effective. Additionally, earlier this year, version 3.5 of CMS’ Workers’ Compensation Medicare Set Aside Reference Guide […]
June 1, 2022 Ever since utilization review (UR) became a mandatory requirement for all medical treatment requests, there have been numerous attempts to challenge not only individual UR determinations and the timeframes in which they have to be made, but the entire UR framework itself. Usually, these challenges came in the context of UR denials; however, very few if any cases have explored the idea of utilization review deferral. Deferral of utilization review pursuant to Labor Code §4610(l) and California […]
LFLM is proud to share our new LFLM February 2022 Workers’ Compensation Newsletter Our Articles in this edition of the Newsletter: COVID-19 in the Workplace: Current Trends and Legislation The COVID-19 pandemic remains a significant challenge in California. As of December 2021, California experienced the fastest increase in COVID-19 cases during the entire pandemic with 18.3 new cases per 100,000 people per day, and case rates increasing nine-fold within two months. At that time, the Delta variant was the most […]
LFLM is proud to share our new LFLM December 2021 Workers’ Compensation Newsletter Our Articles in this edition of the Newsletter: The Rise of Rebutting the PDRS and Derailing the Path to a 100% Award The 2021 Summer CAAA Convention took place virtually, and while we always anticipate permanent disability will be a hot topic, this year’s Convention “zoomed” straight to strategies on achieving higher permanent disability awards. The Convention focused on using vocational evidence to achieve a 100% award. […]
December 6, 2021 The 2021 Summer CAAA Convention took place virtually, and while we always anticipate permanent disability will be a hot topic, this year’s Convention “zoomed” straight to strategies on achieving higher permanent disability awards. The Convention focused on using vocational evidence to achieve a 100% award. This unsurprisingly coincides with the seeming reemergence of applicant attorneys using vocational evidence to significantly increase permanent disability that we are already seeing in 2021. Several foundational cases have laid the groundwork […]
LFLM is proud to share our new LFLM March 2021 Workers’ Compensation Newsletter Our Articles in this edition of the Newsletter: Notice and Reporting Requirements for Employers Under AB 685 After 12 months of executive orders and emergency regulations aimed at tackling the challenges created by COVID-19 in the workplace, it is clear the California Legislature has prioritized safety and reporting in order to help curb the pandemic. Specifically, the Legislature passed a suite of laws enforcing newer and more […]
March 15, 2021 After 12 months of executive orders and emergency regulations aimed at tackling the challenges created by COVID-19 in the workplace, it is clear the California Legislature has prioritized safety and reporting in order to help curb the pandemic. Specifically, the Legislature passed a suite of laws enforcing newer and more strict reporting standards regarding COVID-19 for employers statewide. Assembly Bill (AB) 685 took effect January 1, 2021 and imposes new notice and reporting requirements on employers when […]