Tag Archives: workers’ compensation

Injured workers served poorly with AMA “cookbook” on causation

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DON”T GET ON THE AMA CAUSATION GUIDES SHIP!!!

My friends and colleagues on the WILG listserv were discussing the AMA Guides to the Evaluation of Disease and Injury Causation, 2nd edition. The consensus was that the new guidebook treats injured workers, to quote the President, very unfairly.

Lawyers in Illinois and Montana have encountered the AMA Causation Guide. I encountered the causation guide in Nebraska this spring/summer in Tapee v. Nestle (available on NWCC Decision and Order Search by clicking here). My experience was that the trial judge was not impressed by the opinions of an examining expert who relied generalizations from studies rather than looking at the particulars of my client’s injury.

A colleague in Montana seemed to have a similar experience.  Another weakness of the AMA Causation Guides is that doesn’t address the fact that states have different standards for medical causation. For example, even if it’s true that occupational causes aren’t a prevailing factor in causing carpal tunnel syndrome, that doesn’t matter in Nebraska because a worker only needs to show that occupational factors were a contributing factor to the injury.

Even among WILG members, the AMA Guide to Causation is still confused with the better known AMA Guides to Permanent Impairment that have been subject to numerous court challenges. The so-called AMA 6th has long been a target of plaintiff’s lawyers because of how it reduces compensation for many types of permanent injuries. When the AMA 6th came out about 10 years ago, plaintiff’s lawyers were good about educating courts about the problems with the AMA 6th.

Nebraska isn’t bound by the AMA Guides to Impairment, but courts often follow them in determining permanent disability for scheduled member impairment. In 2010, one trial judge criticized the AMA 6th in Endorf v. Chief Industries (click here for NWCC Decisions and Orders Search) But the insurance defense bar was relentless in pushing the AMA 6th and it is often used as a basis to pay permanent impairment in Nebraska despite early misgivings by some workers’ compensation judges.

I suspect the insurance defense bar will be as relentless in pushing the AMA Causation Guides. From discussion on the WILG listserv, it appears as if there is a nationwide push to use the AMA Causation Guides. The AMA Impairment Guides are sometimes referred to as a “cookbook”. (Hence the headline and artwork for this post) But at least in Nebraska where the AMA Guides to Impairment are generally just applied to so-called “scheduled members” that are paid on a loss of use basis, I can see why a judge may rely on those guides. (The distinction between scheduled member disability being paid on a loss of use basis and non-scheduled injuries being paid on a loss of earning power basis in Nebraska seems to be largely a judge-made distinction)

But causation would seem to be a different story. Causation would seem to be an issue that Judge’s would still want to decide on an individualized basis rather than deferring to a book. But prolonged use of the AMA Causation Guides may eventually lead to an informal heightening for medical causation standards by workers’ compensation judges. 

Maybe this is burying the lead, but the more acute danger is that stae legislatures will adopt the AMA Guides to Causation like they did with the AMA Guides to Permanent Impairment.

Plaintiff’s lawyers have some studies they can use to the counter the AMA Guides to Causation. The American Academy of Orthopedic Surgeons have compiled studies about carpal tunnel syndrome that would contradict the studies that form the basis of the AMA Causation Guide. Plaintiff’s lawyers may also want to bone up on rules regarding expert testimony. At least in Nebraska, those rules don’t govern admissibility of medical evidence, in workers’ compensation but they can certainly be helpful to a court in weighing medical evidence.  NWCC Rule 10 narrowly defines who can testify by written report in our workers’ compensation court. In my experience, “non-Rule 10 experts” can make good witnesses for the plaintiff on cross-examination.

Lawyers for injured workers need to see recognize the threat posed by the AMA Guides to Causation and make every available factual and legal argument against its application at every opportunity –whether in a courtroom, a legislative committe hearing, at a legal confernece and/or on social media.

 

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in AMA Guides to Causation, AMA Guides to Impairment, Nebraska, Workers Compensation and tagged , , , .

A new season for the Shameless economy?

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What’s going to happen on the next season of the Shameless economy?

Amazon made big news on Tuesday when it announced it was implementing a $15 minimum wage for all employees. 

Part of the story was why Amazon raised wages. Some pointed to low unemployment  while others pointed to popular criticism of Amazon’s labor practices. That criticism was expemplied by the Stop BEZOS Act targeting Amezon that was introducted in the Senate by Bernie Sanders.

The author of this blog falls into Amazon critics category. Last November I coined the phrase “Shameless” economy, based on the show Shameless, to describe how Amazon misclassifisied delivery dirvers as contractors.

While Amazon may win applause for raising the wages of employees, by classifiying workers as contractors they are excluding those workers from the benefits of emplyoees like unemployment and workers’ compensation. Amazon annouced this summer that it was expanding its own inhouse package delivery services and looking to contract  with “entrreprenuers”. Contractors aren’t covered by unemployment or workers’ compensation which are beneifts that are mandated by the government.  In other words, Amazon is growing its ranks of contractors which reduces its labor costs while receiving good publicity for raising wages for workers they classify as employees. 

If you watch Shameless you know the character Frank Gallagher. Frank is a terrible drunk and overall person. But occassionally Frank will seem to get his stuff in order only to fall back into his usual antics. Amazon’s labor practices are like Frank Gallagher’s behavior, every once in awhile he will get his stuff together and demand all sorts of credit. But sooner or later, as the millenials say on social media, he is back on his bulls***.

Keep an eye on Amazon.

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in Amazon, worker classification, Workers' Compensation and tagged , , , , , .

What happens when an employee needs family leave after a work injury?

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Taking leave to care for a family member can be complicated by a work injury

Work injuries create all sorts of unexpected complications for injured worker. One complication is what happens when an injured employee on alternate or light duty needs to take time away from work for a family emergency.

If the employee has been employed with the same employer for a year, worked more than 1250 hours during that year and the employer has more than 50 employees within a 75 mile radius, then the employee could take leave for up to 12 weeks under the Family Medical Leave Act without worrying about losing their job.

If the employee or employer is not covered by the Family Medical Leave Act, then things can get sticky for an injured worker as the employer is not obligated to provide unpaid family leave. In Nebraska, an employer is still obligated to pay temporary disability regardless of whether an employee is fired or quit.  But employers, especially ones that are self-insured for workers’ compensation, ignore the law which means that an employee has to wait for a hearing to get temporary disability benefits paid. There may also be a question as to whether an employer’s ability to accommodate a work injury but for a termination or quit should factor into how much an employee should get paid for temporary disability.

Although I haven’t encountered this issue, I suspect an FMLA eligibile employee who took family leave while on light duty could have an employer deny payment of temporary disability. Ultimately I believe a court would award temporary disability in that circumstance. In other words, the analysis for the purpsoses of workers’ compensation benefits would be the same even if the new employee has less job protections for taking family leave.

Short-term employees are already more vulnerable to injuries. Short-term employees also targeted for termination under policies that fire new employees for having “lost time” or “recordable” accidents. While you can, and I have, argued successfully those types of policies retaliate against new workers who get hurt at work, you can’t make the same argument about new employees who get fired for taking family leave. The law excludes new employees from the protections of the Family Medical Leave Act. The law allows employees to discriminate against new employees who need family leave. That’s not to say than a new employee who gets fired after taking leave can’t even have a wrongful termination case, but there would have to evidence of some unlawful motives for an employee to bring that case.

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in FMLA, temporary disability, Workers Compensation and tagged , , , , .

Are surveillance drones watching injured workers in Nebraska?

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An eye in the sky watching injured workers?

Nearly 7 years ago, I wrote a blog about employers and insurance companies using surveillance of injured workers to fight paying workers’ compensation benefits in hopes of finding any reason to reduce or deny an injured workers name. Recently, our Plaintiff lawyer colleagues in other states have noticed use of drones for video surveillance of their clients.

I have not personally experienced “drone surveillance” of any of my clients yet, but I am sure the insurance companies will soon find a way to follow suit in Nebraska. In discussions with other workers compensation lawyers throughout the country, other lawyers have that mentioned insurance companies have used drone-surveillance against their clients in multiple states.

Is drone surveillance even legal? Well, that might depend on what state you live in. However, the FAA does have guidelines on the use of drones and restrictions of how those drones may be operated. Some surveillance tactics may run afoul FAA rules.

Also, many states have enacted their own laws to protect citizen’s privacy from drone-use and cameras. Here are a few examples:

Arkansas forbids the use of drones to invade privacy

California forbids the use of drones to invade a person’s privacy and to record anyone without his or her consent.

Texas Code Section 423.002(a) lays out specific situations in which drones with cameras may be used and insurance surveillance is not one of them.

Virginia makes it a criminal misdemeanor if drones are being used to harass if given notice to desist.  

Florida also prohibits a person from using a drone to record someone if such person has a reasonable expectation of privacy, with the presumption being that someone has a reasonable expectation of privacy if they are on their own property. 

While it is good that states are acting to protect privacy from the intrusion of aerial drones, there may be a legal fight over whether federal rules should preempt state laws about drones.

While aerial drones may be used to sniff out workers’ compensation fraud by employees, I doubt they will be effective in stamping out the larger problem of employer and provider fraud in workers’ compensation.

In summary, while I have not seen it in Nebraska yet, it is a possibility that some day drone surveillance will be used here. However, given all of the regulations (along with the cost and conspicuousness of drones) it is doubtful that drone surveillance would be used. If it is used, Nebraska may have to enact some laws similar to these other states with regards to drone use.

 

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in Fraud, Nebraska, surveillance, Workers Compensation and tagged , , , , .

Changes to Nebraska workers’ compensation laws could speed up settlements

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Our firm was active in drafting recent changes to Nebraska workers’ compensation law

Two changes to Nebraska workers’ compensation law that became effective today could speed up receipt of settlement proceeds for injured workers.

LB 953 will allow settlements to be approved quicker if lawyers representing the injured worker certify the settlement is in the best interest of the worker. These changes should result in more settlements being paid within weeks rather than months. The current law requires court approval of many final settlements.

Another change this year to workers’ compensation laws came with the passage of LB 957, which allows for electronic payment for workers’ compensation indemnity benefits. As of July 19, 2018, if a worker is entitled to indemnity workers compensation benefits, he or she may be paid via direct deposit, prepaid card, or other electronic means. The employee must agree to be paid via electronic payment and the employer must notify the employee of each electronic payment. If handled properly, this could mean quicker payment of workers compensation benefits to the employees.

Workers compensation law was created by the Nebraska legislature. The legislature changes the law occasionally. Rehm, Bennett, Moore, Rehm & Ockander monitors those proposed changes and was involved in drafting these changes working on behalf of the Nebraska Association of Trial Attorneys.

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in legislature, Nebraska, Settlements, Unicameral, Workers Compensation and tagged , , , , .

Nebraska women account for majority of work injuries reported in state

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Leaning in is harder after a work injury.

2017 marked a dubious milestone for women’s equality in Nebraska as women accounted for at least 52 percent of the 37,391 injuries reported by employers to the Nebraska Workers Compensation Court through the First Report of Injury form according to the annual report published by the court.

This figure should be taken with a few grains of salt. 2017 could just be an outlier.  The percentage of First Reports of Injury filed on behalf of women in proportion to total injuries has steadily increased since 2007, but 2017 represented an unprecedented increase in the number of women employees who had First Reports filed on their behalf. The decrease in the number of men who had employers file First Reports on their behalf was nearly as unprecedented.

Court officials also state the numbers could be skewed by the fact that gender is not a mandatory reporting item and that reported injury numbers for a particular year tend to vary from year to year because of late reporting and other factors.

There are other reasons that first report of injuries aren’t a completely reliable measure of the number of actual injuries. A report doesn’t mean that an employee was injured. Not all employers report injuries to the court either. Even if an employee was injured and an employer files a report with the court, that doesn’t mean the injury caused any substantial harm to the employee. In 2017, only 1053 petitions or lawsuits were filed in the Nebraska Workers’ Compensation Court.  Roughly another 700 claims were formally settled without litigation.

Women accounted for 3 of 41 workplace deaths reported to the court in 2017, so men still comprise a large majority of the most serious workers compensation claims.

But the numbers quantify a truth about workers’ compensation and the workforce in general. Women’s participation in the workforce is increasing while men’s participation is decreasing.  Workers’ compensation is still often thought of as “workman’s compensation.” Images of workers’ compensation often include men in hardhats. Men in blue collar jobs like construction and truck driving do get hurt on the job. But women also work in traditionally male jobs like construction and truck driving. Injuries are also common in more gender-neutral sectors like retail, food service and manufacturing as well as in traditionally female jobs like nursing.

Future reports by the Nebraska Workers’ Compensation Court may show the injury numbers from 2017 to inaccurate or an outlier, but women will continue to suffer a substantial number of workplace injuries. 

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in gender equality, Nebraska, women, Workers Compensation and tagged , , , .

Opioid Task Force, Recent Studies, and CDC Opioid Recommendations

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Today’s post comes from guest author Kristina Brown Thompson, from The Jernigan Law Firm. Nebraska is considering legislation to implement drug formularies to control opioid use among injured workers. I believe Nebraska should consider Massachusetts program of essentially having a workers compensation drug court to deal with opioid use.

The North Carolina Industrial Commission recently joined many other states (i.e. Massachusetts) in tackling the issue of opioids in the workers’ compensation cases by creating a Workers’ Compensation Opioid Task Force. The goal of the task force is to “study and recommend solutions for the problems arising from the intersection of the opioid epidemic and related issues in workers’ compensation claims.” According to the Chair, “[o]pioid misuse and addiction are a major public health crisis in this state.” 

As of last June, a study by the Workers’ Compensation Research Institute (WCRI) noted “noticeable decreases in the amount of opioids prescribed per workers’ compensation claim.” From 2012 – 2014, “the amount of opioids received by injured workers decreased.” In particular, there were “significant reductions in the range of 20 to 31 percent” in Maryland, Massachusetts, Michigan, Oklahoma, North Carolina, and Texas. 

Additionally last March, the Centers for Disease Control and Prevention (CDC) issued new recommendations for prescribing opioid medications for chronic pain “in response to an epidemic of prescription opioid overdose, which CDC says has been fueled by a quadrupling of sales of opioids since 1999.” 

Currently, the CDC’s recommendations for prescribing opioids for chronic pain outside of active cancer, palliative, and end-of-life care will likely follow these steps:

1.  Non-medication therapy / non-opioid will be preferred for chronic pain.

2.  Before starting opioid therapy for chronic pain, clinicians should establish treatment goals and consider how therapy will be discontinued if benefits do not outweigh risks.

3.  Before starting and periodically during opioid therapy, clinicians should discuss with patients known risks and realistic benefits of opioid therapy. 

The offices of Rehm, Bennett & Moore, which also sponsors the Trucker Lawyers website, are located in Lincoln and Omaha, Nebraska. Five attorneys represent plaintiffs in workers’ compensation, personal injury, employment and Social Security disability claims. The firm’s lawyers have combined experience of more than 95 years of practice representing injured workers and truck drivers in Nebraska, Iowa and other states with Nebraska and Iowa jurisdiction. The lawyers regularly represent hurt truck drivers and often sue Crete Carrier Corporation, K&B Trucking, Werner Enterprises, UPS, and FedEx. Lawyers in the firm hold licenses in Nebraska and Iowa and are active in groups such as the College of Workers’ Compensation Lawyers, Workers' Injury Law & Advocacy Group (WILG), American Association for Justice (AAJ), the Nebraska Association of Trial Attorneys (NATA), and the American Board of Trial Advocates (ABOTA). We have the knowledge, experience and toughness to win rightful compensation for people who have been injured or mistreated.

This entry was posted in CDC, centers for disease control and prevention, chronic pain, Health, opioid, task force, work comp, Workers' Compensation and tagged , , , , , , , .