It is well settled law that the Industrial Commission cannot base its decisions on "equivocal" medical evidence. State ex rel. Eberhardt v. Flxible Corp. Equivocation occurs when a doctor: 1) repudiates an earlier opinion, 2) renders contradictory or uncertain opinions, or 3) fails to clarify an ambiguous statement. A Supreme Court case released last week, … Continue reading What Makes a Doctor’s Report Ambiguous for Workers’ Compensation Purposes? A New Supreme Court Case Attempts to Make That …Unambiguous
Legislation passed earlier this year by the Ohio House of Representatives funding the Bureau of Workers' Compensation also included a number of substantive changes to Ohio's Workers' Compensation laws. Those changes included: providing coverage for First Responders with Post-Traumatic Stress Disorder even in the absence of a physical injury; amending the First Report of Injury … Continue reading Ohio’s BWC Budget Bill Has Finally Passed. What’s Changed? Not Much.
This week, the Centers for Medicare & Medicaid Services (CMS) proposed to cover acupuncture for Medicare patients with chronic low back pain who are enrolled participants either in clinical trials sponsored by the National Institutes of Health (NIH) or in CMS-approved studies. To read the proposed decision, visit the CMS website here. Acupuncture is not currently … Continue reading Medicare Is Considering Approving Acupuncture for Low Back Problems. Does It Have a Place in Workers’ Compensation Claims?
As regular readers know, the Ohio House and Senate are currently at odds regarding provisions contained within the most recent budget bill. The Senate rejected the bill passed in the House, and a stopgap spending measure was approved, funding the BWC through July 30, 2019. I addressed two controversial provisions in the House bill in … Continue reading What Else is at Issue in the BWC Budget Bill?
The Ohio House and Senate failed to reach agreement on the Bureau of Workers’ Compensation Budget Bill. On June 30th the chambers approved a 30-day budget extension for the BWC in the form of SB172. The House version of the BWC Budget Bill included a provision that would allow first responders to file claims for … Continue reading BWC Budget Bill Fails to Pass Due to Disputes About PTSD Claims and Citizenship Information on First Report of Injury Form
Two weeks ago I posted about a provision in Ohio's BWC budget bill to provide workers' compensation coverage for PTSD sustained by first responders in the line of duty. This week I'll address another provision in the bill, which would require injured workers to provide their citizenship status when applying for workers' compensation benefits. Specifically, … Continue reading Should the Ohio BWC Be Collecting Citizenship Information on a First Report of Injury?
Simply put, because Medicare is going broke. Fast. Based on the projections in the 2019 Medicare Trustee's report, the Medicare Hospital Insurance (Part A) trust fund will be depleted in 2026. No, that wasn't a typo: 2026 (that's 7 years from now). What is a Medicare Set-Aside? First things first. If you're new to this … Continue reading Why the Government Needs Medicare Set-Asides
Ohio law has long held that employees are not covered under the workers' compensation system for mental conditions that do not arise from a physical injury. Provisions in the BWC budget bill (Sub. H. B. No. 80-passed by the Ohio House on June 5, 2019) could change that. If Ohio legislators watch "Tomb Raider: The … Continue reading PTSD Claims for First Responders: Opening Pandora’s Box?
On May 20, 2019 Governor Mike DeWine and Bureau of Workers' Compensation (“BWC”) Administrator/CEO Stephanie McCloud proposed giving $1.5 billion to Ohio employers this year following strong returns on the agency’s investments. So, what do Ohio employers need to do to participate? Good news, you can hit the "easy button" on this one. You don't … Continue reading Claim Your Piece of the Ohio BWC’s $1.5 Billion Rebate
Workers compensation attorneys know that for our clients, the best claim is a settled claim. With that in mind, I reached out to Teddy Snyder, who specializes in workers' compensation mediation, for some simple tips on how attorneys and claims professionals can maximize their chances of success at mediation. The following text comes from a … Continue reading Think Like a Mediator to Settle Your Workers’ Compensation Claim