As a practical matter, a doctor is rarely present the instant a person gets injured at work. Similarly, the way litigation is done, a doctor has to testify while the injured worker is still disabled from work. Yet, despite these limitations, doctors routinely testify that the work injury led to…
Pennsylvania Workers' Compensation Lawyer Blog
Chiropractic Treatment Not Reasonable and Necessary in PA Without Lasting Improvement Beyond Other Available Methods
We have discussed Utilization Review in our Blog on several occasions, many times dealing with whether “palliative” treatment (that treatment which relieves pain, but does not change or cure the condition) is reasonable and necessary. This issue, and the timing within which a Utilization Review Determination must be issued, was…
Attending Seminar on WCAIS to Better Handle Workers’ Comp Cases in PA
On Friday, January 24, 2014, our offices will be closed for part of the day so our attorneys, and our staff, can attend a seminar regarding the usage of the new computer system recently installed for the Pennsylvania Bureau of Workers’ Compensation. Called the WCAIS system, this program went live…
Notice of Ability to Return to Work Not Necessary in All Situations
We have dealt before with the Notice of Ability to Return to Work, and when such a document needs to be issued. The general rule is that the document must be issued by the PA workers’ compensation insurance carrier before the benefits can be modified or suspended. As with any…
Injured Workers in PA Have 60 Days to Challenge IRE or Potentially be Forever Barred
Sometimes, we will meet with an injured worker who is already receiving PA workers’ compensation benefits. The injured worker may ask, “Why do I need to have an attorney if I am already receiving benefits?” The answer is that the rights of the injured worker in Pennsylvania can be impacted…
PA Workers’ Comp Judge Erred in Dismissing Where No Prejudice Shown
Workers’ Compensation Judges (WCJs) in Pennsylvania have great latitude and authority vested in them to perform their jobs. They are the ultimate finders of fact, and determiners of credibility. In running their courtrooms, WCJs may extend or shorten deadlines for the submission of evidence, depending on the circumstances. However, the…
Payment for Medical Expenses Denied Because Records Not Given for Utilization Review
One thing common to every work injury in Pennsylvania is that the injured worker needs medical treatment. The importance of being able to get this treatment, and having it paid for by the workers’ comp insurance carrier, is obviously on the mind of any injured worker. This explains why Utilization…
Brilliant & Neiman LLC Again Selected as a Top Blog
When we were selected last year by LexisNexis as one of the Top 25 Blogs for Workers’ Compensation and Workplace Issues for 2012, it was our fourth such honor in the past five years. We wanted to make sure that we continued to keep our blog at this high level,…
Employee Verification Forms Must be Fully Completed to Avoid Suspension of Benefits
When an injured worker in PA is receiving, or attempting to receive, workers’ compensation wage loss benefits, the insurance carrier can send “verification forms” every six months. These forms require the injured worker to certify whether he or she is working, along with a few other questions. If the injured…
PA Senate Essentially Trying to Kill Guaranty Fund; Harm Injured Workers
One of the few recent laws passed in Pennsylvania which helped injured workers was the creation of the Uninsured Employers Guaranty Fund (UEGF). This fund was designed to be used in cases where the injured worker was employed by someone who (in direct violation of PA law) failed to carry…