When is Communication not Communication?

by Jeremy P. West (December 7, 2017)

When is Communication not Communication? When it’s Information. Labor Code 4062.3 and Maxham v. CDCR.

Labor Code Section 4062.3 describes the proper means by which parties are to communicate with and provide information to medical legal evaluators. The statute sets forth different rules relating to how both information and communication are to be provided to the evaluator.

LC 4062.3 defines “information” as: “[r]ecords prepared or maintained by the employee’s treating physician or physicians” or “[m]edical and nonmedical records relevant to determination of the medical issue.” However, what constitutes communication is not specifically defined in the statute.

Non-IBR Medical Legal Disputes Increasing Litigation, and The Remedial Steps You Need to Take

by Patrick C. Gorman (December 6, 2017)

The Perfect Lien Defense

You receive an odd looking Petition, titled “Petition for Determination of Non-IBR Medical Legal Dispute” from the friendly neighborhood workers’ compensation chiropractor, on a case you settled in 2014. The Petition is requesting $6,000 for a “consultative report”, and a series of diagnostic studies, plus $600 in penalties, $2,651.25 interest “thereon”, and $1,000.00 in attorney’s fees for 2.5 hours spent drafting the Petition. Also accompanying the petition is a Declaration of Readiness to Proceed.

Like any diligent attorney or claims professional, you check the public search function on the DWC website, and find you are set for a MSC on the Petition and DOR, in 21 days. You look at the Party Participant List, on the same page of the Public Search Tool, and perform a lien search. The Chiropractor has not filed a lien, nor has his attorney filed a lien filing fee. You think to yourself “gottcha!, this chiro did not timely file a lien! He also hasn’t paid a filing fee, or served the appropriate lien declaration! The WCAB has no jurisdiction to hear this case!”

VOCATIONAL CONSULTANTS AND PERMANENT DISABILITY AWARDS

by Theodore G. Schneider, Jr. (December 5, 2017)

There was a time when workers’ compensation claims did not involve vocational consultants.

Vocational rehabilitation benefit was adopted under Governor Ronald Reagan and the vocational consultant was introduced into workers' compensation litigation.

Initially, a vocational consultant expert would coordinate a worker’s transferable skills and interests into a vocational plan for on-the-job training or further education to return the worker to suitable gainful employment.

For almost 20 years, vocational consultant duties were limited to returning workers to suitable gainful employment.

LEGISLATIVE RECAP: Quiet 2017 Session Marks the Calm Before the Storm

by John P. Kamin (December 1, 2017)

The 2017 legislative session may have been a relatively quiet one for Californians seeking workers’ compensation reform, but a closer look at lawmakers’ activity shows that significant changes are likely on the way in the next three years.

Many of our clients have shown an interest in curtailing cumulative trauma (CT) claims, which account for 10% of the claims in the Los Angeles and Long Beach regions according the WCIRB. In August 2017, WCIRB Executive Vice President David Bellusci noted “sharp growth” in CT claims.

Assemblyman Adam Gray (D-Merced) introduced AB 221 in January 2017, which would have made it more difficult for applicants and lien claimants to collect on low-value CT claims. For instance, the bill would have barred employer liability for medical treatment if the applicant could not satisfy one of the following four criteria:
  • The treatment was authorized by the employer.
  • The injury to the body part or body parts for which the treatment was provided has been accepted by the employer.
  • The appeals board, after an evidentiary hearing or stipulation of the parties, finds the injury to the body part or body parts for which the treatment was provided was compensable.
  • The employee has undergone an evaluation by a qualified medical examiner, pursuant to Section 4600, or an agreed medical examiner and the evaluating physician has determined that the claimed occupational disease or cumulative injury was caused, in whole or in part, by the employment.
The bill would have also barred defendant liability for medical liens if the amount of the Compromise and Release was less than $25,000.