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DWC Offers Guidance on Remote Exams; Firm Drops Legal Threat but Says Changes Needed

03/31/2020
upon reasonable allowances and agreements. In response to the DWCs efforts to clarify its policies Nicholas Roxborough co-managing partner of Roxborough Pomerance Nye & Adreani said he has dropped his request for a judge to force the division to enact emergency policy changes and allow remote

Category: News

Firm Will Ask Judge to Act if DWC Doesn't Give Guidance on Remote QME Exams

03/27/2020
A Southern California law firm representing qualified medical evaluators and injured workers will ask a judge next week to force the Division of Workers' Compensation to allow remote evaluations without fear of penalty in response to the COVID-19 pandemic. Nicholas Roxborough The law

Category: News

QMEs Want Remote Evaluations During Pandemic; DIR Won't Say Whether They Can

03/19/2020
formal letter to the DIR. The issue is the QME system and if that falls apart the workers comp system falls apart. Woodland Hills-based firm Roxborough Pomerance Nye & Adreani addressed the letter to newly appointed DIR Director Katrina Hagen on Tuesday. The firm decided to send the letter

Category: News

Auditor to Investigate QME, State Comp Programs

03/07/2019
hasnt updated the Medical-Legal Fee Schedule since 2006. Second Rubio said the division in 2016 adopted underground regulations to dismiss hundreds of QMEs over false allegations of overbilling. Nicholas Roxborough co-managing partner of Roxborough Pomerance Nye & Adreani in Los Angeles

Category: News

Insurance Commissioner Voids More Unfiled Side Agreements

11/27/2018
additional payments to Travelers Property Casualty Co. of America according to one of the attorneys in the case. But the decisions do require Travelers to return any overpayments made by Davidson or Adir within 30 days. Nicholas Roxborough co-managing partner of Roxborough Pomerance Nye & Adreani

Category: News

Large-Deductible Rules Last Comp Issue for Insurance Commissioner

11/13/2018
no longer has any concerns with the regulations. Merz said he doesnt know of anyone trying to slam the brakes and stop the rules from going forward but he doesnt know when the rules will be finalized and sent to the Office of Administrative Law for final approval. Nicholas Roxborough co

Category: News

Pleas for Adequate Compensation Dominate MLFS Hearing

10/19/2018
uglies and no one is going to win McGaughlin said before walking away from the podium to a round of applause. Attorney Nicholas Roxborough co-managing partner of Roxborough Pomerance Nye & Adreani in Los Angeles said he has increased his hourly rates since 2006 and is paying his employees more

Category: News

Carriers Seek Less Restrictive Credit Requirement in High-Deductible Policy Rules

08/15/2018
impact the products and services available to small and mid-sized employers NAMIC said. Los Angeles attorney Nicholas Roxborough said he thinks that rules to ensure that carriers have sufficient collateral would provide transparency to employers. The Insurance Department's proposal would allow

Category: News

DWC Agrees to Enforce QME Rules 'As Written' to Settle Lawsuits

04/20/2018
payments they received for unlisted special services procedures or reports under terms of the agreement. The doctors will also be required to complete a course covering QME billing rules as part of the agreement. Attorney Nicholas Roxborough who represented the QMEs said he was reasonably

Category: News

WCAB Dismisses QME Petition, Citing Lack of Jurisdiction

03/26/2018
administrative director improperly denied Dr. Simon reappointment as a QME and asks the WCAB to invalidate that action the order said. However no statute or regulation authorizes the WCAB to hear challenges to the ADs non-reappointment of a QME. Nicholas Roxborough co-managing partner of Roxborough

Category: News

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