California Applicants' Attorneys Association - Workers’ Comp Fraud Harms Injured Workers - FOR IMMEDIATE RELEASE: Tuesday, April 15, 2014 - SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians hurt at work, today released video highlights of its “Working Women’s Injuries Symposium: Causes, Consequences and Prevention,” co-hosted by the California Legislative Women’s Caucus. The video includes legislators, regulators, labor leaders, workplace safety advocates, and injured workers’ attorneys examining the causes of working women’s on-the- job injuries, and building upon recent research to recommend policies and practices to reduce, and better address, women’s workplace injuries......

 

UR Denied Story 

 The Care I've Been Denied: A Florida ANESTHESIOLOGIST overruled a California Audiologist!  I need hearing aids that work - UR Denied Story Arthur "Bud" Nowell - Insurance companies use Utilization Review (UR) to deny and delay needed medical care. The care is usually recommended by the company’s own chosen doctor. Without consequences or effective penalties, insurers’ UR is out of control. It has real impacts on injured workers.  Here is one of their stories. 

Injured Workers’ Advocates to Inaugurate Inland Empire Workers’ Compensation Hall of Fame with Awards Dinner
MEDIA ADVISORY FOR: Thursday, May 1, 2014 - ONTARIO, CA - The California Applicants’ Attorneys Association (CAAA) Greater Inland Empire Chapter, whose members represent Californians injured on the job, will convene workers’ compensation professionals in Ontario for an inaugural Hall of Fame Dinner Thursday, May 1. “We will honor 12 individuals who have made outstanding contributions to our profession, and invite the community to honor the inaugural Hall of Fame class," said Greater Inland Empire CAAA Chapter President, G. Lauren Belger, of Rose, Klein & Marias, LLP Ontario. “These honorees include .....

California Applicants' Attorneys Association - Workers’ Comp Fraud Harms Injured Workers - FOR IMMEDIATE RELEASE: Monday, February 24, 2014 - SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today responded to the indictment of Sen. Ron Calderon and the guilty plea by Dr. Michael Drobot for workers’ compensation fraud. CAAA President Jim Butler said, “When workers’ compensation insurers, physicians, or attorneys act without high ethical standards, injured workers ultimately suffer. Over and over we have seen the use of unacceptable practices by a few as a platform to assault the basic rights of injured workers.”.....

 

CAAA Women’s Caucus & Women’s Legislative Caucus Spotlight California Working Women’s Injuries: Call for More Research, Attention to Safety Gear, Eliminate Bias from AMA Guides & Other Standards Women Injured More Frequently as they Age, while Men are Injured Less Often - FOR IMMEDIATE RELEASE: Wednesday, February 12, 2014 - SACRAMENTO, CA - The California Applicants’ Attorneys Association’s (CAAA) Women’s Caucus today hosted a “Working Women’s Injuries Symposium: Causes, Consequences and Prevention,” co-hosted by the California Legislative Women’s Caucus. Over 100 legislators, regulators, labor leaders, workplace safety advocates, and injured workers’ attorneys examined the causes of working women’s on-the- job injuries, and.....

 

Round 5: Sedgwick v. Juan Jose Gonzalez 
SEDGWICK VS. THE PEOPLE “DENY & DELAY CARE TO DRIVE INJURED WORKERS AWAY” - X-Ray Technician’s Injury Tests Insurer, Sedgwick Fails: Defies Judge’s Order, Refuses to Provide Medical Care 
FOR IMMEDIATE RELEASE: Friday, February 7, 2014 Sacramento, CA – The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today released the fifth in their “Sedgwick vs. the People” series detailing Utilization Review (UR) abuses by insurance companies.....

 

California Applicants' Attorneys Association Report: Insurers Deny 1 in 5 Doctors’ Treatment Requests; Up to 3,500,000 Denied Per Year
Significant UR Problems Undermine SB 863 
FOR IMMEDIATE RELEASE: Wednesday, February 5, 2014
SACRAMENTO, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today released a report estimating that insurance carriers’ Utilization Review (UR) denies one in five physicians’ requests for medical treatment - up to 3,500,000 per year. CAAA based its report on information from the Division of Workers’ Compensation (DWC), and rejected insurers’ estimates of UR denials as “incorrect and misleading.”  ....

 

CAAA Women’s Caucus & Women’s Legislative Caucus to Co-Host California Working Women’s Injuries Symposium: Causes, Consequences & Prevention
MEDIA ADVISORY FOR: Wednesday, February 12, 2014
SACRAMENTO, CA - The California Applicants’ Attorneys Association’s (CAAA) Women’s Caucus today announced a “Working Women’s Injuries Symposium: Causes, Consequences and Prevention,” co-hosted by the California Legislative Women’s Caucus, to examine the causes of working women’s on-the- job injuries, and build upon recent research to generate policies and practices to reduce, and better address, women’s workplace injuries. “We are excited to join together.....

Injured Workers’ Advocates Convene: CAAA Releases eBook on AMA Guides -
FOR IMMEDIATE RELEASE: Thursday, January 23, 2014
Rancho Mirage, CA - The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today convened more than 1,000 workers’ compensation professionals, the overwhelming majority advocates for Californians injured on the job, in Rancho Mirage for a four-day convention. As the Convention opened, CAAA announced the release of its first eBook, “The Pearls of the AMA Guides,” containing an unprecedented wealth of information, including practice tips, videos and analysis on how to navigate each chapter of the AMA Guides ....

 

UR Denied Story Form 

We seek stories that show both how delay affects injured workers, and how the delays add unnecessary costs.  Reducing UR delays and denials will help workers and reduce costs.   Are you aware of egregious cases by insurers engaging in a pattern of misconduct? Click on the Read More to open the form. 

IMR Top 10 Tips - New UR / IMR Practice Tip #15

“CAAA is dedicated to ensuring injured workers get SB 863’s promised prompt access to necessary medical care,” said CAAA President Larry Stern. “We are closely following implementation of the new IMR process to resolve medical disputes, and want all interested parties to have access to our expertise to improve how IMR is working. “  We hope these practice tips will improve understanding and operation of IMR towards its objective of fair, prompt resolution of medical treatment disputes....
More information on #15 - IMR Top Ten Tips

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