1. A Judge has complete discretion to allow
evidence in when not listed as evidence on the Pre-
Trial Conference Statement
2. For emergency treatment at a hospital no
utilization review is required.
3. The treatment was authorized then the
Insurance Company stated that I was outside the
MPN and refused payment, I don’t get paid.
4. The Insurance Company states the Defense of
“Post Termination”, we overcame the defense,
however the PTP stated in his/her report that the
incident at work caused the injury, now two years
later the Insurance Company wants to do a medical
legal on causation, they are prohibited from doing
that.
5. I am “Bound” by whatever the AME finds.
6. The Insurance Company claims a PPO
discount they don’t have a contract but are listed
on a “Payor” list of the network showing who can
take discounts; I don’t have to accept because a
“Payor List” is not evidence of a contract.
7. Testimony alone is enough to support a
finding of a PPO contract to entitle the Insurance
Company to a discount of a Network Contract.
8. A Bill Review Company cannot sell a PPO
discount when there is no direct contract between
the employer / insurance company and the
Network.
9. Defendant are liable for outside MPN
treatment to body parts denied (that are
industrially caused) by defendant and the medical
reports are admissible under the “Valdez” Decision.
10. Does drug addiction from pain medication
prescribed for industrial injury found to relate back
to original industrial injury?
11. If the employer makes an equivocal and
inadequate offer of medical treatment, the
employee could select his or her own physician
and obtain reimbursement for the reasonable cost
of reasonable self-procured medical treatment
pursuant to section 4600, outside the MPN.
12. Defendant are liable for outside MPN
treatment to body parts denied by defendant since
defendant's failure to provide reasonably necessary
medical treatment as required pursuant to Labor
Code § 4600 justified applicant self-procuring
medical treatment outside MPN.
12. The employer is not responsible for per-
existing Injury, lighting up or aggravation of a
preexisting condition.
13. The employer never has to pay for
treatment for a non-industrial injury.
14. If the injured worker filed the claim form
after termination (post termination defense) I don’t
get paid for my medical treatment
11. Cannot challenge the AME report on
issues of medical causation or necessity.
evidence in when not listed as evidence on the Pre-
Trial Conference Statement
2. For emergency treatment at a hospital no
utilization review is required.
3. The treatment was authorized then the
Insurance Company stated that I was outside the
MPN and refused payment, I don’t get paid.
4. The Insurance Company states the Defense of
“Post Termination”, we overcame the defense,
however the PTP stated in his/her report that the
incident at work caused the injury, now two years
later the Insurance Company wants to do a medical
legal on causation, they are prohibited from doing
that.
5. I am “Bound” by whatever the AME finds.
6. The Insurance Company claims a PPO
discount they don’t have a contract but are listed
on a “Payor” list of the network showing who can
take discounts; I don’t have to accept because a
“Payor List” is not evidence of a contract.
7. Testimony alone is enough to support a
finding of a PPO contract to entitle the Insurance
Company to a discount of a Network Contract.
8. A Bill Review Company cannot sell a PPO
discount when there is no direct contract between
the employer / insurance company and the
Network.
9. Defendant are liable for outside MPN
treatment to body parts denied (that are
industrially caused) by defendant and the medical
reports are admissible under the “Valdez” Decision.
10. Does drug addiction from pain medication
prescribed for industrial injury found to relate back
to original industrial injury?
11. If the employer makes an equivocal and
inadequate offer of medical treatment, the
employee could select his or her own physician
and obtain reimbursement for the reasonable cost
of reasonable self-procured medical treatment
pursuant to section 4600, outside the MPN.
12. Defendant are liable for outside MPN
treatment to body parts denied by defendant since
defendant's failure to provide reasonably necessary
medical treatment as required pursuant to Labor
Code § 4600 justified applicant self-procuring
medical treatment outside MPN.
12. The employer is not responsible for per-
existing Injury, lighting up or aggravation of a
preexisting condition.
13. The employer never has to pay for
treatment for a non-industrial injury.
14. If the injured worker filed the claim form
after termination (post termination defense) I don’t
get paid for my medical treatment
11. Cannot challenge the AME report on
issues of medical causation or necessity.
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| TEST QUESTIONS FOR LIEN COLLECTIONS |
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False
True
False
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False
True
False
True
False
True
False
True
False
True
False
True
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False
True
1. The case settled with Future Medical treatment, the date of
services is two years ago, the case settled five years ago, date of
injury six years ago, you can still file a lien.
2. You were served the order denying lien claim by email, you still
have 20 days plus 5 days to files a petition for reconsideration.
3. The case was dismissed for lack of prosecution without
prejudice; you have to write off your lien balance.
4. The in chief resolved with a “Thomas Finding”, you need to
see the settlement documents
5. The Defense raised post termination, for a cumulative injury,
the date injury is prior to termination overcoming the post termination
defense.
6. The Defense tells me he is withdrawing their petition for
sanctions, no writing is necessary.
7. The claim form was filed more than two years after the injury
and I can still pursue.
8. The AME states my services were not medically necessary, I
can still recovery my treatment.
9. I can amend the Stipulations and Issues any time prior to Trial
10. I failed to serve my medical reports prior to Trial, but were in
the board file prior to the case settling, they are considered evidence in
the Lien Trial.
1. En banc decisions of the Appeals Board are binding on panels
of the Appeals Board and workers' compensation judges as legal
precedent under the principle of stare decisis
2. The significant panel decisions, although not of precedential
value, are cases selected as involving new or recurring issues about
which there is little published law, or where it would be beneficial to
provide a restatement of a legal principle or an issue of general
interest.
3. The case settled finding no injury I can still prove injury to
recover on my medical bills.
4. The Defense raise Intoxication of an employee causing his or
her injury to not pay my medical bills I have to show no
intoxication.
5. AOE/COE means (Arising out of and occurring in the course of
employment): injury must be caused by and happen on the job.
6. I can always bill the injured worker for the medical
services.
7. The employer has 95 days from the date a claim is filed to
either admit or deny the injury. Failure by the employer to deny the
injury within the 95 days deems the injury admitted, and the
procedures for utilization review of admitted claim govern.
8. Within one working day after an employee files a claim form,
the employer is responsible for the first $10,000.00 in medical
treatment regardless of whether they deny the injury thereafter.
9. Utilization review reports are admissible for the limited
purpose of determining the need for the medical treatment requested
and cannot be used to show that the injury was caused by the
industrial accident.
10. If in prescribing treatment for the disputed body part, the
treating physician either explicitly or implicitly determines for the
first time that the injury to the disputed body part is industrial, then
utilization review is not appropriate. Instead, the defendant must
initiate the AME/QME process within the deadlines established by
section 4062(a).
services is two years ago, the case settled five years ago, date of
injury six years ago, you can still file a lien.
2. You were served the order denying lien claim by email, you still
have 20 days plus 5 days to files a petition for reconsideration.
3. The case was dismissed for lack of prosecution without
prejudice; you have to write off your lien balance.
4. The in chief resolved with a “Thomas Finding”, you need to
see the settlement documents
5. The Defense raised post termination, for a cumulative injury,
the date injury is prior to termination overcoming the post termination
defense.
6. The Defense tells me he is withdrawing their petition for
sanctions, no writing is necessary.
7. The claim form was filed more than two years after the injury
and I can still pursue.
8. The AME states my services were not medically necessary, I
can still recovery my treatment.
9. I can amend the Stipulations and Issues any time prior to Trial
10. I failed to serve my medical reports prior to Trial, but were in
the board file prior to the case settling, they are considered evidence in
the Lien Trial.
1. En banc decisions of the Appeals Board are binding on panels
of the Appeals Board and workers' compensation judges as legal
precedent under the principle of stare decisis
2. The significant panel decisions, although not of precedential
value, are cases selected as involving new or recurring issues about
which there is little published law, or where it would be beneficial to
provide a restatement of a legal principle or an issue of general
interest.
3. The case settled finding no injury I can still prove injury to
recover on my medical bills.
4. The Defense raise Intoxication of an employee causing his or
her injury to not pay my medical bills I have to show no
intoxication.
5. AOE/COE means (Arising out of and occurring in the course of
employment): injury must be caused by and happen on the job.
6. I can always bill the injured worker for the medical
services.
7. The employer has 95 days from the date a claim is filed to
either admit or deny the injury. Failure by the employer to deny the
injury within the 95 days deems the injury admitted, and the
procedures for utilization review of admitted claim govern.
8. Within one working day after an employee files a claim form,
the employer is responsible for the first $10,000.00 in medical
treatment regardless of whether they deny the injury thereafter.
9. Utilization review reports are admissible for the limited
purpose of determining the need for the medical treatment requested
and cannot be used to show that the injury was caused by the
industrial accident.
10. If in prescribing treatment for the disputed body part, the
treating physician either explicitly or implicitly determines for the
first time that the injury to the disputed body part is industrial, then
utilization review is not appropriate. Instead, the defendant must
initiate the AME/QME process within the deadlines established by
section 4062(a).
False
| Over 20 hours of Lectures copied on both a set of CDs Audio and on a set of DVDs Video, in addition to eight volumes of written material COURSE IN WORK COMP LIEN COLLECTIONS DOWNLOAD COURSE SCHEDULE In House Consultant available to go to location if need system on How to File Liens and EAMS related filings The Course consists of eight (8) weeks -- twenty four (24) lessons in addition to full access questions and answer at any time during the course Total for Course $1,200.00 or Order Individual Lessons at $275.00 per lesson New Proposed Rules Regarding Lien Register and receive first week course material within one week, in addition receive the first 12 lectures on audio CDs to play on CD Player, or while driving. |
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True
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True
| California Work Comp News, Issues, Articles |
False
True
May 24, 2012: Audio / Video Lecture of series on New
Lien Regulations 1 of 3
May 24, 2012: Issues of Concern for Medical Providers
regarding New Lien Regulations
May 23, 2012: Summary Flowchart of New Lien Regs
one of four
May 23, 2012: New Lien Rules although not officially
adopted sent to Judges
May 22, 2012: Issues: Questions and Answers
Regarding Post Termination Defense
May 19, 2012: Article: Are Implants Separately
Reimbursed from the Outpatient Facility Fee Schedule?
May 18, 2012: Panel Decision: Implants for Outpatient
Knee Surgery Separately Reimbursed
May 17, 2012: News: Division of Workers’
Compensation issues announcements relating to
electronic medical billing
May 16, 2012: Course Flowchart
May 15, 2012: Panel Decision: Utilization Review
Applies to All Providers not just PTP.
May 14, 2012: Article: The WCAB is regulating the conduct
of Lien Claimants and Medical Providers by dismissal of
Liens and maximum sanctions and costs, adhering strictly to
the rules of evidence
May 11, 2012: DWC News: Division of Workers’
Compensation announces the appointment of Dr.
Rupali Das as executive medical director
May 11, 2012 DWC News: Division of Workers'
Compensation posts Workers’ Compensation
Information System (WCIS) administrative penalty
regulations to online forum for public comment
Lien Regulations 1 of 3
May 24, 2012: Issues of Concern for Medical Providers
regarding New Lien Regulations
May 23, 2012: Summary Flowchart of New Lien Regs
one of four
May 23, 2012: New Lien Rules although not officially
adopted sent to Judges
May 22, 2012: Issues: Questions and Answers
Regarding Post Termination Defense
May 19, 2012: Article: Are Implants Separately
Reimbursed from the Outpatient Facility Fee Schedule?
May 18, 2012: Panel Decision: Implants for Outpatient
Knee Surgery Separately Reimbursed
May 17, 2012: News: Division of Workers’
Compensation issues announcements relating to
electronic medical billing
May 16, 2012: Course Flowchart
May 15, 2012: Panel Decision: Utilization Review
Applies to All Providers not just PTP.
May 14, 2012: Article: The WCAB is regulating the conduct
of Lien Claimants and Medical Providers by dismissal of
Liens and maximum sanctions and costs, adhering strictly to
the rules of evidence
May 11, 2012: DWC News: Division of Workers’
Compensation announces the appointment of Dr.
Rupali Das as executive medical director
May 11, 2012 DWC News: Division of Workers'
Compensation posts Workers’ Compensation
Information System (WCIS) administrative penalty
regulations to online forum for public comment
False
True
Article: Are Trauma Centers Exempt for The Fee Schedule // Article: Statutory Limitation of 24 Chiropractic Visit Limitations vs. Medical Necessity //
Flowchart: How it works Article: Issues of Restitution // Article: Denied Injury // Article: A Bill Review Company Cannot Contract to Sell PPO Discounts.
Article: Above Fee Schedule //Article: Diagnosis-related group (DRG) // Article: PPO Discounts and Payor List //Article: Fees in excess of Fee Schedule
Flowchart: MPN // Flowchart: Post Termination //Flowchart: Payments for Disputed Injuries // Flowchart: Utilization Review // Article: MPN Issues
Flowchart: Issues Regarding Liens // Article: Lien Filing Limitations // Article: "Physical Rehabilitation” (Work Conditioning) vs “Physical Therapy”
//Article: Jurisdiction over Future Medical Treatment // Article: Defense of Intoxication //Article: Cases and Arguments on PPO Contract Issues //
Flowchart: Post Termination // Trial Brief: Fee Schedule // Article: AME / QME // Trial Brief: Authorization // Article: New Regulations
Flowchart: How it works Article: Issues of Restitution // Article: Denied Injury // Article: A Bill Review Company Cannot Contract to Sell PPO Discounts.
Article: Above Fee Schedule //Article: Diagnosis-related group (DRG) // Article: PPO Discounts and Payor List //Article: Fees in excess of Fee Schedule
Flowchart: MPN // Flowchart: Post Termination //Flowchart: Payments for Disputed Injuries // Flowchart: Utilization Review // Article: MPN Issues
Flowchart: Issues Regarding Liens // Article: Lien Filing Limitations // Article: "Physical Rehabilitation” (Work Conditioning) vs “Physical Therapy”
//Article: Jurisdiction over Future Medical Treatment // Article: Defense of Intoxication //Article: Cases and Arguments on PPO Contract Issues //
Flowchart: Post Termination // Trial Brief: Fee Schedule // Article: AME / QME // Trial Brief: Authorization // Article: New Regulations
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| California Work Comp Articles / Flowcharts / Templates |
True
False
True
False
True
| All States Work Comp |
False
May 21, 2012: Texas News: Adoption: Amendments
to 28 TAC §§133.307, 133.308, 144.1–144.7 and
144.9–144.16 Regarding MDR of Fee Disputes, MDR
of Medical Necessity Disputes, and Arbitration
April 21, 2012: South Carolina News: Notice of Public
Hearing The SC Workers' Compensation Commission
will conduct a public hearing on Tuesday, May 29,
2012, at 10:30 a.m. in Hearing Room A at the
Commission to receive comments on the proposed
new Regulation on Mediation
May 21, 2012: Oklahoma News: COURT RULE 23
(EYE IMPAIRMENT) APPROVED BY SUPREME
COURT
May 21, 2012: Ohio News: Mount Gilead business
owner sentenced for failing to maintain workers' comp
coverage
May 21, 2012: Delaware News: HEALTH CARE
PROVIDERS CONT ED COURSE – GLITCH
WITH THE CERTIFICATE OF COMPLETION
May 21, 2012: Connecticut News: Updated WCC
Medical Protocols effective July 1, 2012
May 14, 2012: Texas News: Informal Draft of Rules
Relating to the Medical Quality Review Panel and
Draft Medical Quality Review Process
May 14, 2012: Ohio News: Cambridge car salesman
sentenced for workers' comp fraud
May 14, 2012: New York News: Chair Announces
June 2012 Medical Fee Schedules
May 07, 2012: Ohio News: COLUMBUS - A
Youngstown (Mahoning County) man who pleaded
guilty to workers' compensation fraud has been
ordered to repay more than $6,000 or face jail time
May 07, 2012 Maryland News: Amendments to
Regulation .19 under COMAR 14.09.01 Procedural
Regulations, are effective April 16, 2012.
to 28 TAC §§133.307, 133.308, 144.1–144.7 and
144.9–144.16 Regarding MDR of Fee Disputes, MDR
of Medical Necessity Disputes, and Arbitration
April 21, 2012: South Carolina News: Notice of Public
Hearing The SC Workers' Compensation Commission
will conduct a public hearing on Tuesday, May 29,
2012, at 10:30 a.m. in Hearing Room A at the
Commission to receive comments on the proposed
new Regulation on Mediation
May 21, 2012: Oklahoma News: COURT RULE 23
(EYE IMPAIRMENT) APPROVED BY SUPREME
COURT
May 21, 2012: Ohio News: Mount Gilead business
owner sentenced for failing to maintain workers' comp
coverage
May 21, 2012: Delaware News: HEALTH CARE
PROVIDERS CONT ED COURSE – GLITCH
WITH THE CERTIFICATE OF COMPLETION
May 21, 2012: Connecticut News: Updated WCC
Medical Protocols effective July 1, 2012
May 14, 2012: Texas News: Informal Draft of Rules
Relating to the Medical Quality Review Panel and
Draft Medical Quality Review Process
May 14, 2012: Ohio News: Cambridge car salesman
sentenced for workers' comp fraud
May 14, 2012: New York News: Chair Announces
June 2012 Medical Fee Schedules
May 07, 2012: Ohio News: COLUMBUS - A
Youngstown (Mahoning County) man who pleaded
guilty to workers' compensation fraud has been
ordered to repay more than $6,000 or face jail time
May 07, 2012 Maryland News: Amendments to
Regulation .19 under COMAR 14.09.01 Procedural
Regulations, are effective April 16, 2012.
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| NEWSLETTERS |
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| SIGN UP FOR FREE MONTHLY COLLECTIONS NEWSLETTER EMAIL REQUEST TO START RECEIVING NEWSLETTER E-MAIL MONTHLY NEWSLETTER REQUEST |
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|
Order by Mail
Payable to Richard J Boggan JD
P.O. 6291
Garden Grove, CA, 92846
or by Credit Card
Payable to Richard J Boggan JD
P.O. 6291
Garden Grove, CA, 92846
or by Credit Card
| $325.00 CD / Hard Copy Mailed order by Mail Payable to Richard J Boggan JD P.O. 6291 Garden Grove, CA, 92846 |
Copyright © 2008 www.workcompliens.com All rights reserved
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| Publications Guidebook Plus Lien Claimants' Issues Book over 155 pages of Lien Claimant issues Plus 200 pages of Pleadings WCAB Plus one hour Lecture on Guidebook |
| Collection Issues Booklets Collection Booklets written on specific lien issues with flow charts and updates, including how to prepare and file a petition for reconsideration and more. |
| Individual Video and Audio Lectures with outlines regarding particular issues: Pleadings // Discovery // MPNs / Medical Legal // Causation // Sanctions // Responding and Filing Motions, petitions and pleadings |
False
| Members Access Full access to flowcharts, issues, articles, panel decisions regrading lien collection issues Purchase of any product receives one year free access |
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True
| Two (2) Years of Updates Free |
| Watch and hear Video of Course Information by following link below |
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| Providing Education in Liens, Medical Collections, News, Articles, Flowcharts, in California Workers Compensation and All States |
 |  |  |  |  |
| CALIFORNIA WORKERS COMPENSATION COLLECTIONS PUBLICATIONS AND INFORMATION FOR MEDICAL PROVIDERS |
| New Lien Rules Incorporated in All Publications In addition New Lesson Added to 8 Week Course on New Regulations |
|
| New Lien Rules Incorporated in All Publications In addition New Lesson Added to 8 Week Course on New Regulations |
| Free Audio / Video Lectures on New Lien Regulations 1 of 3 Each week additional Lectures on New Regulation |