The franchise industry faces many unanswered questions in the wake of the recent decision in Awuah v. Coverall North America. Though the industry had hoped to be reassured that it could continue to classify independent franchisees as distinct from independent contractors for the purpose of denying benefits to these workers, the case offered no such… Read more
When a party wants a utilization review under Pennsylvania workers’ compensation law, it seeks an independent determination of whether a medical treatment for a work injury is reasonable or necessary. The typical workers’ compensation utilization review process begins when the insurance carrier or employer receives the bills for an employee’s medical treatment and believes the… Read more
In a recent study, the Workers’ Compensation Research Institute found that the costs for prescription drugs used to treat injured workers in Pennsylvania were higher than the median cost. The Cambridge, Massachusetts, based research group found that the average payment per claim for prescriptions was $445, which was eight percent greater than the median established… Read more
The Pennsylvania Commonwealth Court recently ruled that in workers’ compensation cases, an expert’s opinion could be held valid even if the expert did not personally examine a specific injury the worker suffered. In Stancell v. Workers’ Compensation Appeal Board, the court affirmed a benefits termination petition after the employer’s medical expert testified regarding the employee’s… Read more
Recently, an employer was reminded that it must follow proper procedure to suspend its former employee’s workers compensation benefits. In the Commonwealth Court of Pennsylvania, a judge affirmed the Workers’ Compensation Appeal Board’s decision to deny an employer’s request to suspend the worker’s benefits. The employee had been receiving benefits since 1989 when he injured… Read more
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