A fee review in a Pennsylvania workers’ compensation case is a process where a healthcare provider can dispute the amount or timeliness of a payment made by a workers’ compensation insurer or employer for medical services rendered to an injured worker. Here are the key points about the fee review process: Purpose: The fee review […]
On March 17, 2023, the Commonwealth Court of Pennsylvania issued a decision holding that the costs of medical marijuana are to be reimbursed by workers’ compensation insurance companies and self-insured employers under the Pennsylvania workers’ compensation act. In a 5 to 2 decision the majority of the Court analyzed both Federal laws and the Pennsylvania […]
Workers’ Compensation Total Disability Rates Below is a schedule for the workers’ compensation total disability rates that apply to any injuries that occurred in the last three years. The compensation rate is based upon an employee’s average weekly wage. To understand the chart, refer to the 2023 column. If an employee is earning more than […]
Injury Treatment with the Company or “Panel” Doctors Many injured workers are directed by their employer to a specific medical provider following a work injury. We are often asked whether this is required by law, and if there are ways to get around it. The short answer is that the Pennsylvania Workers’ Compensation Act does […]
PA Supreme Court Decision on “Household Vehicle” Exclusion On January 23, 2019, the Pennsylvania Supreme Court struck down the “household vehicle” exclusion that had been present in many auto insurance policies. This exclusion was commonly used by insurance companies to deny uninsured motorist (UM) benefits and underinsured motorist (UIM) benefits to insureds who had paid […]
Understanding Mediation in Personal Injury Cases: A Path to Settlement More often these days, personal injury cases in litigation eventually end up in mediation. What is “mediation”? Mediation is a process whereby a neutral person, agreed upon by the attorneys for the respective parties, acts as a go-between to attempt to bring opposing parties closer […]
You’ve just had an auto accident and go to the emergency room the next day. You provide your regular health insurance information, pay your co-pay and get treatment. You don’t improve, so you go to your family doctor and your regular insurance gets billed and pays. You incur another co-payment. Your family doctor sends you […]
Classification of Injuries Covered Under Workers’ Compensation Act There seems to be a real interest in learning more about the classification of injuries covered under the Workers’ Compensation Act. The following represents several categories of injuries typically found compensable under our current law. Traumatic A traumatic injury is generally considered as one that results […]
If you are considering settling your workers’ compensation claim, you obviously need to try to maximize the amount of the settlement that you will be receiving. Following your settlement, you may be limited to a fixed income from other sources, forced to work at a lower-paying job to make ends meet, in need of funds […]
Pennsylvania gets some pretty slick weather in the wintertime. There are often spills on the floors of stores. These conditions can cause us to slip and fall, injuring ourselves. Tripping hazards can be found almost anywhere and the resulting falls can also cause injuries. These are known as “defects” in the property. If these events […]
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