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Approval of Multiple Office Visits Under the Medical Treatment Guidelines   By: Michael Parker The Medical Treatment Guidelines have a provision where once a doctor obtains approval for routine maintenance visits, sometimes referred to as continuity of care, the doctor does not have to submit a new 1010 for each subsequent office visit.  The rule […]

Understanding Solidary Liability in Workers’ Compensation Claims: Contribution Between Successive Employers and Insurers   By: Charles Taylor Matthews In workers’ compensation law, when an employee’s injury results from a combination of accidents involving different employers or insurers, the concept of solidary liability comes into play. Under Louisiana law, successive employers and their insurers may be

1010s – Proceed with Caution By: Andres Gomez We are seeing providers increasingly attempting to circumvent the Reimbursement Schedule with the 1010 process. It is important to be on the lookout for some of these red flags to avoid potential issues later on with the payment of the treatment: CPT Codes – WE are seeing

“Go directly to jail. Do not collect indemnity (and medical)” By: Patrick Johnson While it is a rare circumstance, what you do with a claimant who is incarcerated but otherwise entitled to indemnity does occasionally arise. In what may be a shock to some who see everything in Louisiana as benefiting the employee, there are

What happens when an accident goes unwitnessed? By: Charles Taylor Matthews As attorneys and claims adjusters know, workers’ compensation operates under a no-fault system, meaning that workers do not need to prove fault to receive benefits. However, unwitnessed accidents can present significant challenges, both legally and practically, for employers, insurers, and injured workers. While there

By: Andres Gomez  Does Permanently and Totally Disabled mean Permanently and Totally Disabled? As you know, Permanent and Totally Disabled (“PTD”) is not something that the claimant’s treating physician decides. While the physicians can render their opinion on whether the claimant is PTD, it is ultimately up to the court to determine that. While the

By: Corey Meaux It’s Settlement Season! Now that we are entering the last quarter of 2024, it is time to start thinking about settling some of your older claims. Remember, plaintiffs (and their attorneys) typically like settling claims before Christmas so they can end the year with more cash in their pockets. We recommend reaching

By: Patrick Johnson I swear that we had that video… What do you do when you’re in-store or in-vehicle video captures an accident on video that does not match the claimant’s story, or even better, it captures a lack of a claimed accident? The first thing that you avoid is assuming that the video will

By: Keith Landry DOCUMENT, DOCUMENT, DOCUMENT YOUR CLAIM NOTES AND BE PROACTIVE IN THE PAYMENT (OR NON-PAYMENT) OF BENEFITS 23:1201. Time, place of payment; failure to pay timely; failure to authorize; penalties and attorney fees 23:1201(F)(2) This Subsection shall not apply if the claim is reasonably controverted or if such nonpayment results from conditions over

By: Michael Parker The issue of whether someone injured in Texas (or any other state) can assert a claim under the Louisiana Compensation Act (Act) is one that occurs very frequently and as our society continues to be more and more mobile with work duties taking employees to many unexpected places this issue will continue