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News & Press: NEWS

CSIMS Media Clips Report 7/20

Thursday, July 19, 2018   (0 Comments)
Posted by: CSIMS
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California Society of Industrial Medicine and Surgery (CSIMS)
Media Clips
July 20, 2018

OAKLAND, Calif. — The California Applicants’ Attorneys Association is questioning the appropriateness of a proposal to update sections of the Medical Treatment Utilization Schedule, including general practice advice and recommendations rather than medical necessity.

Los Angeles Times

After nearly two decades on the force, former LAPD Officer Jonathan Hall ended his career the way many veteran officers do these days, claiming job-related injuries across most of his body.
With the help of a boutique Van Nuys law firm that specializes in workers’ compensation cases for cops and firefighters, Hall filed claims saying he’d injured his knees, hips, heart (high blood pressure), back, right shoulder — even his right middle finger.


ANAHEIM, California — The perennial patient that is California’s workers’ comp system is stable, not dead,after eight years under a Democratic governor who turned out to be far more business-friendly than expected, an employer group’s lobbyist said Wednesday. Now the question is how workers’ comp will fare if Democrat candidate Gavin Newsom wins against Republican John Cox in November.


ANAHEIM, California — California employers on Thursday gave the state labor secretary a trophy to take back to Gov. Jerry Brown for bringing stability to the workers’ compensation system, while sending a message to the next governor that they want something done about cumulative trauma claims.


The California Division of Workers’ Compensation announced the six people selected to serve on the committee that will consult with the agency on updates to the prescription drug formulary. Inaugural members of the Pharmacy and Therapeutics Advisory Committee include pharmacists Lori A. Reisner, Todd Shinohara and Raymond Tan. The pharmacists will be joined by Drs. Basil B, Besh, Rajiv P. Das and Steven Feinberg. 


The California Division of Workers’ Compensation has adjusted the hospital outpatient and ambulatory surgery center fee schedule to conform with quarterly Medicare changes.
 The California Division of Workers’ Compensation posted an order incorporating changes made by Medicare into the pathology and clinical laboratory section of the Official Medical Fee Schedule.

Just because Medicare and Medicaid don’t pay for acupuncture doesn’t mean California employers andworkers’ compensation carriers don’t have to.The Division of Workers’ Compensation issued a Newsline on Wednesday reminding payers that acupuncture continues toremain within the definition of “medical treatment” underCalifornia Labor Code Section 4600, and employers or their
insurers must pay for it if it is medically necessary.


Insurance Journal
An insurtech startup says it will disrupt California’s workers’ compensation system with “technology-enabled triage and care coordination” for California Farm Management.

Fresno, CA ( - John Thomas Terrence, 75, of Marina del Rey, pleaded guilty today to health care fraud involving a scheme to defraud the California workers' compensation insurance system, U.S. Attorney McGregor W. Scott announced.





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