Worker Loses Appeal on AWW, Benefit Termination, and Doctor Change Request

Worker Loses Appeal on AWW, Benefit Termination, and Doctor Change Request

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April 21, 2025 | MedLegalNews.com – Worker Loses Appeal on AWW: A California worker’s challenge to the calculation of their average weekly wage (AWW), the termination of workers’ compensation benefits, and a request to change treating physicians has been rejected by the Workers’ Compensation Appeals Board (WCAB). WCAB Supports Employer’s Wage Calculation The worker argued […]

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California Licensing Boards Warn of Blackmail Scam Targeting Healthcare Professionals

California Licensing Boards Warn of Blackmail Scam Targeting Medical Professionals

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April 19, 2025 | MedLegalNews.com – California Licensing Boards: Healthcare professionals across California are once again being targeted by a sophisticated blackmail scam, prompting a renewed joint warning from the Medical Board of California, the California Board of Chiropractic Examiners, and the California Board of Registered Nursing (BRN). This latest iteration follows similar extortion attempts

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Committee Moves MLFS Update and Cost-of-Living Bills to Suspense File

CWCI: CA Workers’ Comp Med-Legal Costs Surge Under 2021 Fee Schedule

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April 15, 2025 | MedLegalNews.com – CWCI: CA Workers’ Comp: The California Workers’ Compensation Institute (CWCI) has released a new study showing a sharp increase in medical-legal (med-legal) costs following the implementation of the updated Medical-Legal Fee Schedule (MLFS) in April 2021. Although the schedule aimed to improve Qualified Medical Evaluator (QME) retention and streamline

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Workers' Comp Rate Filing Hearing Scheduled by CDI for June 10

WCIRB Proposes 11.2% Hike in Workers’ Comp Pure Premium Rates

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April 15, 2025 | MedLegalNews.com – WCIRB Proposes 11.2% Hike in advisory pure premium rates, citing rising claims costs and changing industry dynamics. The California Department of Insurance (CDI) will review the recommendation in an upcoming public hearing. What Is Changing and Why It Matters The pure premium rate serves as a benchmark for insurers,

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CA Court Reinstates Injured Worker’s Civil Suit Against Employer

CA Court Reinstates Injured Worker’s Civil Suit Against Employer

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April 15, 2025 | MedLegalNews.com – CA Court Reinstates: In a pivotal decision, a California appellate court has reinstated an injured worker’s civil lawsuit against both his employer and a co-worker, challenging long-held assumptions about workers’ compensation exclusivity. Background: Injury on the Job The case involved a laborer, employed by a private contractor, who was

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Age and Disability Bias Suit Against Blue Banner Co.

Age and Disability Bias Suit Against Blue Banner Co.

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April 15, 2025 | MedLegalNews.comAge and Disability Bias Suit: In a key ruling for California workers, the Fourth District Court of Appeal has allowed Hermenegildo Gonzalez, a former employee of Blue Banner Co. Inc. (BB), to proceed with his claims of age discrimination, disability discrimination, retaliation, and wrongful termination. Longtime Employee Claims Pattern of Retaliation

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Contract Term Limits Comp as Sole Remedy for Injured Skylight Installer

Contract Term Limits Comp as Sole Remedy for Injured Skylight Installer

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California Court Rules Against Personal Injury Lawsuit, Upholds Workers’ Comp Exclusivity April 15, 2025 | MedLegalNews – Contract Term Limits Comp: In a recent ruling, a California appeals court determined that a skylight installer injured on the job cannot pursue a personal injury lawsuit against the general contractor. Instead, the installer must rely solely on

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Heart Presumption Expansion Bill Advances for California State Hospital Workers

Labor Org Owners Sentenced to Prison for Fraud Scheme

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April 14, 2025 | MedLegalNews.com – Labor Org Owners Sentenced: Two owners of a California-based labor organization will serve time in federal prison after pleading guilty to a widespread fraud scheme that siphoned more than $500,000 from union coffers. The sentences mark another federal crackdown on white-collar corruption within labor institutions. Defendants Diverted Union Funds

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High Court Denies City's Bid to Reclaim $106K from Firefighter

High Court Denies City’s Bid to Reclaim $106K from Firefighter

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April 14, 2025 | MedLegalNews.com – High Court Denies: In a pivotal ruling for public employees, the California Supreme Court rejected a city’s attempt to recover $106,000 in overpaid wages from a firefighter. The decision underscores the state’s commitment to protecting workers who unknowingly receive erroneous payments. Firefighter Acted in Good Faith The case involved

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Prior Authorization Delays: New Legislation Aims to Improve Patient Care

Prior Authorization Delays: Aims to Improve Patient Care

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April 11, 2025 – MedLegalNews – SACRAMENTO, CA — Prior Authorization Delays: A group of California lawmakers, backed by the California Medical Association (CMA) and physicians statewide, has introduced a legislative package to overhaul the state’s prior authorization process. The goal: to reduce delays and improve access to timely, medically necessary care. “When people have

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