Can a Utilization Review deny a procedure after an AME opined on the procedure in his final report?
The Board will almost alwasy use the opinion of the AME irrespective of a UR denial. UR denials have become simply a way to delay and avoid paying...
Rancho Mirage, CA
Workers compensation Lawyer at Rancho Mirage, CA
Practice Areas: Workers Compensation, Personal Injury ... +2 more
The Board will almost alwasy use the opinion of the AME irrespective of a UR denial. UR denials have become simply a way to delay and avoid paying...
Many doctors try and play lawyer when they should not, just as your lawyer should not play doctor. I think it is inappropraite of the dcotor to...
1) Yes, it is supposed to be a benefit delivery system but there are many forces at work antithetical to that goal. You have insurers more...
If the job is one hat requires a license you are the employer, period. If you we're also unlicensed the person hiring you was the employer,...
Using a doctor outside the MPN can always present problems and you should have been informed of the risks by your lawyer. If he does not have a...
No, you are entitled to that overtime. The difficulty will be proving the hours unless you entered them on your time cards.
Yes, I agree, sign nothing. His three year limit looks backwards. So, if he filed today he could seek overtime commencing three years ago to...
If you can show the adjuster did in fact speak to the first QME without your consent then the first QME's reports can be excluded. You will likely...
Assuming you are non-exempt, then no. You are owed overtime. Many employers try to do this and gamble that they will not be held to account. You...
Unless you have a contract for employment you can be fired for any reason that is not discriminatory. Sometimes though, employers use pretexts to...