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Publications
A Hearing Officer in a Fee Review case does not have statutory authority to remedy an overpayment of medical bills made to the provider by the insurer.
In this case, the Medical Fee Review Section determined that Philadelphia Surgery Center (the provider) was due $14,393.83 for medical services rendered to the claimant.
What’s Hot in Workers’ Comp, Vol. 27, No.
What’s Hot in Workers’ Comp - News and Results*
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What’s Hot in Workers’ Comp, Vol. 27, No.
On remand, the Industrial Accident Board concluded that a COVID-19 workplace exposure at a poultry processing plant did not qualify as a compensable occupational disease.
Mr. Fowler alleged that he suffered a compensable COVID-19 exposure at work.
What’s Hot in Workers’ Comp, Vol. 27, No.
Florida District Court of Appeal upholds denial of benefits to a first responder for his claims of mental injuries from work-related trauma.
The First District Court of Appeal affirmed the final compensation order below, opining that the expert medical testimony supported the judge’s denial of the claimant’s Fla. Stat. Sec. 112.1815(2)(a)(3) claim.
What’s Hot in Workers’ Comp, Vol. 27, No.
Florida Approves 8.4% Rate Decrease
The Florida Office of Insurance Regulation approved the National Council on Compensation Insurance’s (NCCI) proposed rate decrease of 8.4%.
What’s Hot in Workers’ Comp, Vol. 27, No.
New Jersey Supreme Court finds insurance broker has duty to provide notice to LLC members of workers’ compensation coverage options.
The New Jersey Supreme Court held that an insurance broker has a non-waivable duty to an LLC to provide notice that workers’ compensation coverage is available to members of the LLC who can actively perform services on behalf of the LLC but only i
What’s Hot in Workers’ Comp, Vol. 27, No.
An Application for Fee Review is not premature on the basis that the treatment for an accepted work injury is not causally related where a Utilization Review Request has not been filed.
The claimant sustained a low back work injury in October of 2019, which was accepted by a medical-only Notice of Compensation Payable (NCP). Thereafter, the claimant was prescribed compound cream.
What’s Hot in Workers’ Comp, Vol. 27, No.
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What’s Hot in Workers’ Comp, Vol. 27, No.
Industrial Accident Board determines that a general contractor on a construction site is responsible for claimant’s workers’ compensation benefits as both his employer and by operation of Section 2311.
The claimant alleged he was injured while doing demolition work on January 7, 2022. He initially filed a petition against Alliance Environmental Systems (Alliance), but Alliance denied that it was Mr.
What’s Hot in Workers’ Comp, Vol. 27, No.
District court finds that the “specialty” for the one time change of physician must be one that furthers the employer’s duty to deliver a continuum of care, facilitating the employee’s return to gainful employment.
The injured worker sustained a serious injury to her finger. She came under the care of Dr. Cortez, a board-certified general and plastic surgeon with an added certificate for hand surgery via the emergency room.
What’s Hot in Workers’ Comp, Vol. 27, No.