The Santa Ana Workers' Compensation Appeals Board, will operate from their new location on Monday, April 29, 2019:
Santa Ana WCAB
2 MacArthur Place, Suite 600
Santa Ana, CA 92707
Our Santa Ana office is conveniently located to the Santa Ana WCAB office. Please reach out to our firm if you have any questions or if we may assist you in any way. Click link to view notice regarding the Santa Ana WCAB location move.
A legislative result of the October 1, 2017 mass shooting which took place in Las Vegas, Nevada, is the AB 1749 which was proposed Assemblyman Tom Daly (D-Anaheim), Chairman of the Assembly Insurance Committee. California Governor, Jerry Brown, passed this bill on September 23, 2018. This bill allows California peace officers to receive California workers' compensation benefits if they were injured or killed out-of-state in the line of duty.
Don't forget to set your clocks ahead this Sunday. The time officially changes at 2:00 a.m. on Sunday, March 11, 2018.
The National Safety Council is cautioning employers that workers may be especially tired on the Monday following Daylight Savings Time. Those who may be directly impacted by lack of sleep are shift workers, and those workers who work long shifts, do not get regular breaks, have less than 12 hours off between shifts, have sleep deficiencies, work high-risk hours (such as overnight or early morning), have physically or mentally demanding jobs or experience long commutes.
Drive safe on Monday the 12th. According to SceinceDirect.com, historically, the number of automobile accidents is increased the Monday following the Daylight Savings time change. Take the needed steps to get the sleep you need during the time change this weekend. Be alert and drive defensively to avoid accidents with those drivers who may display symptoms of fatigue or falling asleep at the wheel...
Don't forget to keep track of who is on the DIR's naughty list when dealing with lien claimants. More names are being added to the list of providers who have been criminally charged and whose liens are stayed. We always recommend that our clients check this list before dealing with any lien claimant. The good lien claimant of today may become the fraudulent lien claimant of tomorrow.
Riverside, CA (WorkersCompensation.com) - Seven defendants are scheduled to be in Riverside County Superior Court tomorrow after being indicted by a grand jury in a case involving insurance fraud in which $98 million was fraudulently billed.
The two separate, but related grand jury indictments are the result of a joint investigation by the Riverside County District Attorney's Office and the California Department of Insurance. The indictments were issued after evidence was presented to the Riverside County grand jury over a six-week period ending in mid-May.
The two indictments allege that 18 insurance companies were defrauded in this scheme in which $98 million was fraudulently billed, resulting in $12.4 million being paid by the insurance companies. All defendants are scheduled for arraignment in Dept. 64 at 8:30 a.m., Tuesday, June 7.
"Our system of workers' compensation and health insurance is designed to help people recover from injuries...
The Division of Workers' Compensation (DWC) has added an easy-to-use search tool to help the public find Independent Medical Review (IMR) determinations quickly and efficiently. The DWC IMR search tool is available on the DWC website.
Over 300,000 IMR cases have been decided since the medical dispute resolution process was implemented on January 1, 2013. Following a determination by a physician reviewer, information for each case is posted to the DWC website. The public can use the new tool to search for decisions by case number, date of injury, specialty of reviewer, and/or category of treatment request.
"The DWC IMR search tool allows the public to easily research the database of IMR decisions," said DWC Acting Administrative Director George Parisotto. "Increased knowledge about the program's past performance will ultimately lead to a more effective IMR process."
Each IMR case pertains to one or more requested treatments that were denied, delayed or modified following utiliza...
LOS ANGELES (Reuters) - The former chief financial officer of a California hospital and four other people have been charged in a series of health care kickback schemes that generated nearly $600 million in fraudulent billings for spinal surgeries, prosecutors said on Tuesday.
All five defendants have agreed to cooperate in a wide-ranging federal investigation into the fraud, dubbed "Operation Spinal Cap", U.S. Attorney's spokesman Thom Mrozek said, and two have already pleaded guilty to federal charges.
The remaining three defendants were expected to plead guilty in the coming weeks, Mrozek said. Under the terms of their plea agreements, all five will face prison terms and be ordered to pay restitution, he said.
Prosecutors say one of the schemes involved kickbacks and fraudulent claims submitted in thousands of spinal surgery cases referred to Pacific Hospital in the Los Angeles suburb of Long Beach. The hospital's former owner, Michael Drobot, pleaded guilty last year to taking part in...
All of you undoubtedly heard, on June 29, 2015, the U.S. 9th Circuit Court of Appeals affirmed the decision of the U.S. District Court for Central California in the Angelotti case which held that the collection of lien fees is not an improper government taking of private property or that it is a violation of the due process clause. Those of us on the defense side of workers' compensation fully expected to hear that lien fees would once again be collected and that a slew of liens would be dismissed for a failure to file such fees.
Well, the fight is apparently not over. The plaintiffs in Angelotti filed a timely petition for a rehearing and on August 5, 2015. The U.S. 9th Circuit Court of Appeals ordered the State to reply to the petition within 21 days. Until the appellate court makes a decision on the petition for rehearing, the 2013 injunction against the collection of lien fees mandated by SB 863 remains in effect.
On Monday, June 29, 2015, the U.S. 9th Circuit Court of Appeals issued its decision in Angelotti v. Baker, the lien activation fee case. The Court lifted the injunction put into place by the lower federal court.
Recall that SB 863 required lien claimants to pay a $150 filing fee for any new lien filed after January 1, 2013, and required a reactivation fee of $100 for any lien filed before January 1, 2013. In addition, any lien filed before 2013 had to be activated before January 1, 2014, or it would be dismissed by operation of law.
The plaintiffs in Angelotti filed suit in federal court arguing that the fee was a government taking of private property and was in violation of both due process and the equal protection clause. The lower federal court dismissed the first two causes of action but ruled that there was a serious question regarding a potential violation of the equal protection clause because the fee was forced upon some providers but not others, such as insurance compan...