Articles Posted in PA Workers Compensation Bureau Update

When an injured worker in Pennsylvania discovers that it may take a year or more to get a decision in his or her PA workers’ compensation case, the client is often, understandably, distraught. We often explain that our job is to maximize the chances that the case is litigated properly, but we are not able to make it go any faster. This, of course, does not help pay the client’s bills while the litigation continues.

So, we are certainly aware of the hardships that injured workers face while awaiting a decision in their cases. At the same time, we are also aware of what is required in the litigation of a case. In most cases, the injured worker will testify, there will be a deposition from at least one medical expert on each side, and, often, either testimony or a deposition from a fact witness, or a different kind of expert (such as vocational). Once we take all of that evidence, we write briefs (which are anything but “brief”) and then it goes to the Workers’ Compensation Judge (WCJ) to await a decision. Depending on the complexity of the case, this can take well over a year to have all of this completed.

We have been told recently by a few WCJs that the PA Bureau of Workers’ Compensation is now quietly insisting that cases be tried, and decided, within a year. They are labelling this new push as the “Rocket Docket.” While this can have some beneficial aspects, by having cases decided sooner, it also carries significant costs, such as the WCJs rushing cases, or by multiple attorneys having to handle a file due to frequent conflicts (less common with a smaller firm like ours, but still a risk).

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 back in September.

Though we were involved in the early testing of the WCAIS system, each day has brought changes to the new program. To best handle our cases with the Bureau of Workers’ Compensation, we felt it important that we, and our staff, attend a seminar held to review the current status of WCAIS, and how best to use the system. The seminar is scheduled to have Hon. Elizabeth A. Crum, Director, Workers’ Compensation Office of Adjudication in Harrisburg, Hon. Susan B. Caravaggio, Central District Judge Manager for the Workers’ Compensation Office of Adjudication, and three of the lead programmers who worked on, and refined, the system.

While we apologize for any inconvenience caused by us closing the firm, we believe our attendance at this seminar this will better enable us to represent injured workers throughout Southeastern and Central Pennsylvania.

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 workers’ compensation insurance coverage. The UEGF was designed to provide medical treatment, and lost wages, to those workers who, under the previous system, would be left with no recourse. This, of course, was a saving grace which embodied the supposed “humanitarian objectives” of Pennsylvania’s Workers’ Compensation Act.

Because the problem of uninsured employers in PA is so prevalent, funds allocated to the UEGF have exhausted at a faster pace than was budgeted. The legislature was then left to decide how best to fix the problem. In an astonishing declaration of indifference to injured workers throughout the State, the Pennsylvania Senate created Senate Bill 1195. Rather than simply replenish the UEGF, and allow injured workers to receive benefits they desperately need, the Senate has elected to simply gut the UEGF to reduce the number of successful claims. This is a truly sad decision being made by those who are supposed to represent us all.

Instead of coming down harder on uninsured employers, and simply reducing claims by reducing the true offenders, the Senate has decided the burden should fall on the injured workers, who are only the innocent victims. First, the worker gets injured, then they get victimized by their employer having no insurance (in violation of Pennsylvania law). It is a double punishment that simply is neither fair nor just.

As scheduled, the Workers’ Compensation Automation and Integration System (WCAIS) went live for the Pennsylvania Bureau of Workers’ Compensation on September 9, 2013. Having been in on the ground floor of this massive undertaking, we watched this transition with great interest. While we are excited with the possibilities this new system will offer, the change in systems did not start without some issues.

For several days after the launch, the system was shut down. Since the previous system had been stopped, in anticipation of WCAIS starting, this caused the workers’ comp system in PA to grind to a halt. Fortunately, WCAIS does appear to now be functioning (in fact, today we received our first Notices of Hearing using the system). Whether the system is fully functional is unknown to us.

Problems do remain to be addressed. One Workers’ Compensation Judge (WCJ) told us that there is no functioning scanner in that workers’ compensation hearing office. This means that no evidence received by a WCJ in that office can be entered into the system. A WCJ in another hearing office advised parties to use bench orders when pursuing a Compromise & Release (settlement), as that WCJ was not sure when the system would allow WCJs to issue decisions through WCAIS.

As we mentioned before, both of the partners of Brilliant & Neiman LLC, Dina Brilliant and Glenn Neiman, were invited to appear on a television show hosted by Injured Workers of Pennsylvania. This show was aired live on August 19, 2013, and broadcast throughout the Berks County region of PA. The website for Berks County Television has a copy of the show in its archives, and it can be viewed on the internet by clicking here.

We at Brilliant & Neiman LLC thank Injured Workers of Pennsylvania for giving us this opportunity to speak to the public on issues regarding workers’ compensation in Pennsylvania. The primary topic was the status of House Bill 1636, which would eliminate choice of doctor for all injured workers in Pennsylvania. One of the jobs we, as attorneys representing injured workers, have is to educate the public, so injured workers know their rights under the Pennsylvania Workers’ Compensation Act.

As we mentioned previously, the Pennsylvania Legislature is planning another attack on injured workers in PA in 2013. This notion has now taken the form of House Bill 1636, which seeks to forever deny injured workers in PA the right to select their own physician.

Under the current provisions of the Pennsylvania Workers’ Compensation Act, if an employer follows the correct procedures and posts a proper list of at least six health care providers (at least three of which must be physicians), then the employer is only responsible for payment of medical treatment with the listed panel providers for the first 90 days of the injury.

If this Bill becomes law, however, an employer may list as few as a single Coordinated Care Organization (CCO) on a panel. Then, the injured worker would have to treat with this single organization, not for the first 90 days, but for the entire duration of the injury. That’s right – the legislature seeks to deny injured workers in PA from ever getting to select their own physicians.

As a leading workers’ compensation firm in Pennsylvania, Brilliant & Neiman LLC has worked with the PA Bureau of Workers’ Compensation on issues, such as the mediation process, in the past. The Bureau is now getting ready to institute the final part of its overhaul, transitioning into the online Workers’ Compensation Automation and Integration System (WCAIS). Initially, last September, the Bureau started the transition to WCAIS, by putting the Workers’ Compensation Appeal Board (WCAB) onto the system. This next, and final, step will be to bring the rest of the Bureau, and the entire adjudication process, into WCAIS.

It was no surprise, then, that the attorneys at Brilliant & Neiman LLC were again invited by the Bureau to be among a select group of attorneys and legal professionals from across the State of Pennsylvania to assist the Bureau with the final stages of this development. This partnership is beneficial to the Bureau, by having the attorneys work on the new system under the watch of the Bureau – to further tweak the process and refine its efficiency, as well as to the attorneys involved, by having an early exposure to the new system and gaining valuable experience.

The WCAIS system will streamline the workers’ compensation process in PA, centralizing the filing of petitions, the scheduling of hearings and the entire litigation of cases. Currently, the system is scheduled to go live on September 9, 2013. This new process should greatly increase the efficiency of both the Bureau, and the parties involved in litigation. We at Brilliant & Neiman LLC were excited and honored to share our time and experience with the Bureau, to help make the system better for all involved.

It is with a heavy heart, and great sadness, that we relate that the Pennsylvania Workers’ Compensation community has lost a valued member. Workers’ Compensation Judge Mark Peleak passed away while bicycling on July 7, 2013. Judge Peleak presided in the Wilkes-Barre Workers’ Compensation Office, which is in the Central District. Our thoughts and prayers go out to his family and his many friends and admirers. He will be missed.

One of the most difficult decisions faced by an injured worker in PA is how to decide who to hire as their worker’s compensation attorney. Many sites, or publications, have a list of attorneys they tout. Maybe they are called “Super” attorneys or “Awesome” lawyers, or some other cleaver marketing name. What standards do they use? Are they objective? Is there really merit in being named? Who knows. Now, however, there is an objective, regulated selection process authorized by the Pennsylvania Supreme Court.

As we mentioned before, Pennsylvania has created a Workers’ Compensation Law Certification process. First, an attorney is screened to be certain he or she possesses the requisite experience to sit for the examination (a minimum of five years practicing in workers’ comp is required). Specific cases must be provided, including briefs and written arguments. The attorney must certify that at least half of his or her practice is devoted to PA workers’ comp matters. Only then is the attorney even allowed to sit for the examination test.

This test was given for the first time in March, 2013. The grueling four hour assessment covered every aspect of PA workers’ compensation law, thoroughly testing each applicant’s knowledge of the workers’ comp system. Both multiple choice and essay questions were involved.

Mediation is a growing area in Pennsylvania workers’ comp. As we have previously discussed, a mediation is when an independent party, in this context usually a Workers’ Compensation Judge [WCJ] (other than the assigned WCJ), meets with the parties in an informal setting in an effort to resolve the differences between the parties. The ultimate goal is to achieve a settlement to the case (usually done by “Compromise & Release Agreement”).

Since we at Brilliant & Neiman LLC work with injured workers every day, having constant contact with the Pennsylvania workers’ compensation system, we are well-versed in most aspects of how the system functions from day to day. We are proud that our knowledge and experience will be used by the PA Bureau of Workers’ Compensation, as the Bureau adjusts the system to change with the times.

Since the start of “Mandatory Mediation,” added to the Pennsylvania Workers’ Compensation Act in the 1996 amendments to the Act, the system has been relatively stagnant. Recently, the Bureau has sought a small working group to evaluate the mediation system and see what, if any, changes could be beneficial to the mediation process.

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