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Ametros: Medicare Regularly Denying Treatment for Workers With Set-Aside

by | Jan 21, 2022 | Uncategorized

Medicare is systematically denying payment for treatments and prescription drugs when injured workers have not reported proper exhaustion of set-aside funds, according to an Ametros analysis.

And while almost a third…

Business Owner Pleads Guilty in Premium Fraud Case

by | Jan 21, 2022 | Uncategorized

The owner of a roofing company pleaded guilty to two felony counts of workers’ compensation insurance fraud in a case investigated by the California Insurance Department and prosecuted by the…

Supreme Court Upholds Denial of Authorization for Carpenter’s 7th Surgery

by | Jan 21, 2022 | Uncategorized

The West Virginia Supreme Court upheld a denial of authorization for a carpenter’s seventh surgery to address an elbow injury.

Case: Runyon v. Wiseman Construction Co. Inc., No. 20-0638, 01/11/2022, published.

Facts:…

Mason’s Labor Law Claim for Fall Can’t Be Resolved by Summary Judgment

by | Jan 21, 2022 | Uncategorized

A New York appellate court ruled that a worker’s Labor Law claim based on his alleged fall on the roof of a building under construction could not be resolved by…

Defendant Gets Dismissal of Worker’s Labor Law Claim

by | Jan 21, 2022 | Uncategorized

A New York appellate court ruled that a defendant in a worker’s Labor Law claim should have been granted summary judgment, since the worker’s injuries were the byproduct of his…

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