Tag Archives: Injured
This past weekend (November 7-9, 2014), I spoke twice at a conference of the American Academy of Orthopedic Surgeons. Orthopedic doctors from various states attending the particular sessions I taught were mostly older, and many were hired by industrial insurance adjusters to do independent medical exams on claims where attorneys were involved. I had … Continue reading IME Docs’ Perspective
One of the best physicians to care for Nevada’s injured workers died recently following a long battle with cancer. I first met Dr. Maureen Mackey when I was working as an attorney for the State Industrial Insurance System, and she was employed as a physical rehabilitation doctor for the Jean Hanna Clark Rehabilitation Center in … Continue reading Dr. Maureen Mackey Dies
Change Needed to Nevada’s Law on Physician Choice for Injured Workers A. A Short History of the Law In 1913, Nevada first enacted the Nevada Industrial Insurance Act and the Nevada Occupational Disease Act, now known as NRS Chapters 616A-D, and NRS Chapter 617. It was administered by the NIC (Nevada Industrial Commission). The NIC … Continue reading Bad Law on Doctor Choice for Nevada Injured Workers
I put together a series of videos on hearings and appeals to show injured workers the physical location of the two offices where hearings and appeals are held on contested Nevada workers’ compensation claims, and what to expect at each hearing. The address for the Hearings Division and Appeals Division is 2200 S. Rancho Drive, … Continue reading Nevada Hearings and Appeals:What to Expect
When a claim is accepted, almost all insurers include a form that has a brief explanation of benefits available under Nevada workers’ compensation law. There is a lot of information included, and it is in fine print. Very few injured workers bother to read it. However, it does state that an injured worker must send … Continue reading Mileage Reimbursement Should Be Sent in Every 60 Days
There is a recent trend among insurers andtheir medical review companies to require a psychological evaluation before authorizing a low back surgery. Neurospsychologist Louis Mortillaro, PhD is asked to do many of these evaluations for the purpose of determining whether the patient is likely to benefit from a back surgery. Basically, the insurer doesn’t want … Continue reading Is Your Insurer Requiring a Psych Eval Before Authorizing Back Surgery?
Before an injured worker undergoes a neck or back surgery, he or she should be familiar with a few medical terms and what specific procedure the surgeon is recommending. Ask your doctor to write down the name of the surgery, and have him explain exactly what will be done. If you or your adjuster … Continue reading Common Spine Surgeries for Injured Workers
On April 19, 2013, S &C Claims Services, Inc., sent a letter to all injured workers insured by Builders Insurance Company that their checks due that week wouldn’t be sent as scheduled. A Las Vegas District Court ordered the Commissioner of Insurance to act as Temporary Receiver for the company while future … Continue reading Is Your Work Comp Insurer Broke and Belly Up?
The first 30 days of a serious job injury claim are confusing and scary. Here are a few important tips : Keep a copy of the C-4 Claim for Compensation form that you filled out to start the claims process when you first got medical care. Check it to see whether you were taken … Continue reading The First 30 Days of Your Nevada Work Comp Claim
Most injured workers who call my office are fed up with delays in getting decent medical care or getting compensation checks from the workers’ compensation adjuster. Here’s a list of why you might be having problems: 1. Your claim hasn’t been accepted yet. The adjuster handling your claim for your self-insured employer, or the … Continue reading Why Nothing is Happening on Your Claim
Some injured workers are delivered a low blow by their adjuster when their treating surgeon for their Nevada work comp injury finds that they first take care of a unrelated medical problem before surgery can go forward. For example, many hurt workers will find that their blood pressures spike from being in pain from the … Continue reading Suspended Benefits for a Non-industrial Medical Condition
Injured employees in Nevada have a limited right to choose a treating doctor. The workers’ compensation insurer or third-party administrator for the employer has a list of doctors that have contracted to provide medical care at reduced fees. Once the injured worker’s claim is accepted, he or she has the right to ask for a … Continue reading Does An Injured Worker Have to Go to Their Doctor?