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Pennsylvania Workers' Compensation Lawyer Blog

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Claim Petition in PA Workers’ Comp Denied When Doctor Says Injured Worker’s Intoxication Was Major Factor in Work Injury

Generally speaking, when an employee in Pennsylvania is injured while performing the duties of his or her job, the employee is entitled to PA workers’ compensation benefits. One of the exceptions to this rule, however, is when “the injury or death would not have occurred but for the employe’s intoxication.”…

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Workers’ Compensation Seminar – May 10, 2010 – Free to Injured Workers in PA

Representing injured workers in Pennsylvania workers’ compensation cases, we realize how scary and unfamiliar the PA workers’ comp system can be, especially to an injured worker who does not have an attorney representing them. As we try to do from time to time, we are sponsoring a free PA workers’…

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Notice of Ability to Return to Work Required to Suspend or Modify Workers’ Comp Benefits in PA

There is a process in PA when a workers’ comp insurance carrier wants to modify or suspend the workers’ compensation benefits of an injured worker. First, there must be evidence of a change in condition. Then, the insurance carrier must serve a form called Notice of Ability to Return to…

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Termination of PA Workers’ Comp Benefits Granted, Even When No Examination of All Accepted Injuries

Generally speaking, a Workers’ Compensation Judge (WCJ) is the sole determiner of credibility in PA workers’ comp matters. Testimony of any witness can be accepted, in whole or in part. Determinations of credibility by a WCJ cannot generally be overturned on appeal. This issue was addressed by the Commonwealth Court…

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PA Workers’ Comp Check is Only A “Conditional Payment,” So A “Stop Payment” Means Workers’ Compensation Was Not “Paid.”

Under Section 406.1 of the Pennsylvania Workers’ Compensation Act, an employer/insurance carrier has 21 days to investigate a workers’ compensation claim and issue appropriate documentation, either accepting (by Notice of Compensation Payable (NCP) or Agreement for Compensation) or denying (Notice of Denial (NCD)) the claim. If the employer/insurance carrier is…

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Termination in PA Workers’ Comp Must Account For All Recognized Work Injuries, Whether or Not Listed on Notice of Compensation Payable

When a PA workers’ compensation insurance carrier wants to “terminate” the workers’ comp benefits of an injured worker, the insurance company must prove that the injured worker has fully recovered from his or her work injury. What constitutes the “work injury” is usually what is described on the Notice of…

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Utilization Review in PA Workers’ Comp Pertains Only to Physician or Provider Named, Unless Providers Acting Under Same Physician

In PA Workers’ Compensation, when the workers’ comp insurance carrier feels the treatment rendered to an injured worker is no longer “reasonable” or “necessary,” the relief is for the insurance company to file for Utilization Review (UR). When a UR is requested, the PA Bureau of Workers’ Compensation randomly assigns…

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Car Accident Victim Not Entitled to PA Workers’ Comp Benefits While Injured in Route to Patient’s Home

Generally speaking, employees in Pennsylvania are not entitled to workers’ compensation benefits when the employee is injured commuting to work (known as the “Coming and Going” rule). There are four notable exceptions to this rule. They are that the injured worker: (1) has an employment agreement which includes commuting to…

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