Nevada Workers' Compensation Law

Nevada Workers'
Compensation Law

News & Updates on Workers' Compensation Laws & helpful Information on the Claims Process

Help! Prevent Terrible Changes to Work Comp

Posted in Uncategorized
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The Nevada legislature meets only every other year, and this year doesn’t look good for the changes that could gut benefits for Nevada’s injured workers.  The amendment so many of us committed work comp attorneys hoped would get out of the senate committee on commerce and labor and to the legislature for a vote on allowing workers to choose their own doctors might be dead already.  Meanwhile, big business employers  and insurers are having a field day trying to take advantage of a a Republican majority assembly and a Republican majority senate to try to pass so-called reforms that would seriously harm Nevada employees with legitimate work injuries.

Please look at AB 229 and all of the nasty changes in this proposed legislation.   Then, please send a message to the assembly person for your district that you are opposed.  No hearing is scheduled yet, and these hearings are scheduled with only a few days notice.

Meanwhile, other states are likewise doing major harm to their workers’ compensation systems.  Here is a good article on the effect of these legislative changes:  http://www.npr.org/2015/03/04/390441655/injured-workers-suffer-as-reforms-limit-workers-compensation-benefits

Keyboard Options for Injured Workers with CTS or Other Hand Injuries

Posted in Carpal Tunnel Syndrome, Workplace safety
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I asked Laurie Clemens, director of the Professional Institute of Technology & Accounting (PITA)  here in Las Vegas, what keyboard options she has tried when retraining injured workers with hand or arm injuries that make typing difficult. While there are medical differences of opinion as to whether typing can cause carpal tunnel syndrome, there is no question that typing on a regular keyboard can aggravate the condition. Almost all occupations now require some input on a computer and typing, so workers with any kind  of hand injury may need a special keyboard.

Often times, employers are willing to provide reasonable accommodations for employees who suffer such work-related injuries and will purchase a special keyboard.  According to Laurie, PITA recommends three products when it comes to these accommodations.keyboard

One of the most popular options for accommodating injuries such as carpal tunnel is Lilly Walter’s one-handed keyboards. This is essentially a child-sized keyboard designed to make maneuvering around the keys with only one hand a lot easier than a full-sized keyboard. The best part is, it’s portable, and looks identical to ordinary keyboards apart from the size.

Maltron One Handed KeyboardIn some of the more severe cases of hand injuries, another option exists from BoundlessAT. They have developed the Maltron Single Hand Keyboard, for use when normal hand movement is not possible due to an injury or disability. This keyboard has a different layout from a normal keyboard, and may require additional training to use.

Another option exists that can allow an injured worker to dramatically cut down on the required amount of typing during a normal work day. Dragon NaturallySpeaking Professional is a talk-to-text system that is also available through BoundlessAT.

I would like to give a special thanks to Laurie Clemens for this useful  information.

Neurosurgeon Randal Peoples on Neck and Back Surgery

Posted in Medical Care
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Neurosurgeon Randal Peoples, M.D. spoke to a dozen claimants’ attorneys and  interested health care providers recently about his philosophy in treating spinal injuries.  He acknowledged that he has a reputation for being conservative about recommending surgery and stated that being a good surgeon is knowing when not to operate.

Dr. Peoples emphasized that the patient’s history about an injury is the most  important information to him in diagnosing  a spinal injury.  About one third of the population has a disc herniation on a MRI, but most don’t know it and don’t have pain or disability.    Continue Reading

FMLA Could Save Your Job After Work Injury

Posted in FMLA, Uncategorized
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If you work for an employer who employs more than 50 employees and you have worked sufficient hours to qualify for FMLA time (29 U.S.C.2601), you may want to ask that any time you are off work for your work injury be designated as FMLA time, particularly if you expect to be released full duty before your full 12 weeks of FMLA time is up.  Many employers require that any time off for a work injury be designated as FMLA time so as to reduce your 12 weeks of FMLA.  A recent 9th Circuit case (Escriba v. Foster Poultry Farms) appears to question that, but the Department of Labor website still states that an employer may legally deplete FMLA time for a work injury, even if the employee doesn’t want FMLA time to be used.  However,  if an employer forgets or doesn’t require that FMLA time be reduced for a work injury, then the employee will still have FMLA time (unpaid leave time) available for your  later  use.

Why then would you ever want to use your FMLA time while you are being compensated for your time off work under an accepted workers’ compensation claim?  One reason would be if you think your employer may intend to replace you while you are off work and will not offer you employment after you return from your work injury.  Under workers’ compensation law, your employer does not have to hold your job open for you.  If you are released full duty without any permanent work restrictions, your employer can tell you that it was necessary to find someone else to do your job, or that they decided to downsize while you were gone.  Under those circumstances, workers’ compensation will terminate your benefits, and your only recourse is to file for unemployment benefits while you search for a new job.  However, if you properly requested FMLA time while you were out for the work injury, and if haven’t used all your FMLA time, your employer must return you to your pre-accident job.  Just make sure that you follow all company policies and follow the steps to ask for FMLA protection when you are off work.

–Written by
Virginia Hunt, Hunt
Law Office

For more information about FMLA, click here for the US. Dept of Labor info.

The Blame Game- Unhealthy Lifestyles and Work Comp

Posted in Medical Care, Uncategorized
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I believe that people are responsible for their actions in life, particularly  decisions they make that affect their own personal health.  Although I represent injured people, I may personally  disagree with a sensational jury verdict against a deep-pocket corporation where it doesn’t appear that the plaintiff (person suing) was looking out for their own health either.   For example,  despite the highly addictive properties of nicotine,  I admit I don’t feel a lot of  sympathy for smokers who sue  tobacco companies for emphysema or heart disease when they continued  to smoke after warnings were placed about risks on cigarette packages.  However, I haven’t read the evidence or testimony in those cases.  I mention this example because it shows that we all have our opinions and prejudices when it comes to judging others’ behavior, even when we have limited information.

In the workers’ compensation arena, employees have an expectation that their employer will be looking out for their safety, and it comes as an unpleasant surprise when a severely injured employee cannot sue an employer for a clear-cut safety hazard that causes injury.  Neither the fault of the employer, nor the fault of the employee in causing a work accident is supposed to increase or decrease benefits unless the law specifically allows it.  For example, Nevada has a specific law that specifically denies benefits to employees who are injured because they are intoxicated.  However, employees who are injured through their own lack of due care (contributory negligence), are entitled to benefits the same as other injured workers.

I am seeing a trend though where employers and insurers are trying to bring fault into play to reduce benefits to  employees who haven’t maintained healthy lifestyles.  Continue Reading

Prescription Help for Injured Workers

Posted in Medical Care, Uncategorized
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Yesterday I met with Amie Pellegrini, the Nevada business manager for IW Pharmacy, an online prescription company that services injured workers.  My staff and I have been having such difficulty getting prescriptions filled timely for clients, with many administrators using intermediary drug companies that only confuse and delay medication fills. This company promises to quickly fill prescriptions for my clients, even those prescriptions that are denied and in the appeals process, so long as an attorney is on the case and advocating for the injured worker.  This company handles any pre-authorizations that might be required, billing the adjuster, and has staff that knows how to properly handle workers’ comp claims.   Additionally, they don’t have the out-of-stock problem that many of my clients have encountered with local pharmacies not having sufficient quantities of medication.    Prescriptions are delivered to your home.  In order to enroll, you must fax your prescription to 1-800-497-4276.  I look forward to working with them.

Mileage reimbursement update

Posted in Mileage reimubursement, Uncategorized
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Effective January 1, 2015, the reimbursement rate for workers compensation related travel has been increased from $.56 per mile to $.575 per mile.

Injured workers are eligible for mileage allowance under NAC 616C.150. Mileage is eligible for reimbursement if the injured worker

  • is traveling to a doctor’s appointment related to his or her workers compensation claim (this includes physical therapy); and
  • is using a private vehicle; and
  • travels 20 miles or more one way; or
  • travels 40 miles or more within one week

In order to be reimbursed for eligible travel expenses, the injured worker must fill out a D-26 ‘Application for Reimbursement of Claim Related Travel Expenses’ and submit it to the adjuster. Mileage expenses must be submitted within 60 days of the travel date.

There are a couple of things you can do to make reimbursement as simple as possible for yourself, as well as your adjuster.

  • Fill out one reimbursement form for each month. Submitting multiple forms at separate times throughout the month makes it more difficult for your adjuster to calculate the expenses, and may delay your reimbursement check;
  • Use MapQuest or Google Maps to calculate the mileage. Your adjuster will double check the distance using one of these sites;
  • When following up with your adjuster for mileage reimbursement check, have a copy of the request on hand. Knowing the dates that the request covered will help your adjuster know exactly which expenses you are referring to. Keep in mind that the insurance company has 30 days to issue a mileage reimbursement check. Generally, the check goes out in the mail the day after it is issued.

 

Good News on Hearing Loss Treatment

Posted in Occupational Illnesses
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I’ve got good news and bad news about occupational hearing loss.

First the bad news about  occupational hearing loss claims:

  • It can be hard  to prove that the hearing loss was caused by a work accident or by an incident of loud noise at work as opposed to hearing loss from aging, particularly if there is no baseline audiogram when the employee begins the job,
  • Insurers fight these claims because hearing aids are expensive and need frequent replacement,
  • Claims for hearing loss that comes on gradually over time from noise exposure at work are often denied if the employee writes  a date of onset more than 90 days before a C-4 claim form is completed.  The insurer may argue that the claim should have been filed sooner.
  • Insurers change the rules as to how to compare hearing loss from one year to the next,
  • An employee can have a significant hearing loss and need hearing aids, but still may not have a ratable impairment under the AMA Guides and not be entitled to a permanent partial disability award.

Now the good news-  the N.Y. Times reports  on advances in treatment of hearing loss with medication   Medication may cost less than treatment with expensive hearing aids and may ultimately result in less resistance from insurers in accepting these claims.  Additionally, many people have a hard time adjusting to hearing aids.

Petitions for Judicial Review in Nevada

Posted in Appeals
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The most important hearing  on a contested workers’ compensation case in Nevada is the one before the  the appeals officer, because that  hearing is recorded, it is the last avenue for presenting witnesses or documentary evidence on the contested issue, and the appeals officer’s decision is difficult to attack.  However, any of the parties who lose at the appeals officer level, has the right to file an appeal to a district court judge, and that appeal is called a Petition for Judicial Review.

Continue Reading

Your Privacy and Medical Authorization Releases

Posted in Medical Care
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Some third-party administrators of Nevada workers’ compensation claims routinely send injured workers their own medical release forms which give the adjuster authorization to request any and all medical records from any medical providers.  I don’t have my clients sign those overly broad medical releases.  They are an invasion of the injured worker’s privacy, and injured workers are not required to sign those types of release forms.

NRS 616C.177 is the law that allows an insurer to ask about preexisting conditions and that requires the injured worker to sign a release.  However, this statute limits both the inquiry about preexisting medical conditions and the release form to “a preexisting medical condition that is reasonably related to the industrial injury of that injured employee.” [emphasis added] This law also states that the release is to assist the insurer to determine the nature and amount of workers’ compensation to which the employee is entitled.

NAC 616C.079, a regulation adopted by the DIR, says that the insurer may require the injured worker to sign a medical release for records “necessary for the insurer to obtain appropriate information and documents to determine the nature and amount of benefits.”  [emphasis added]  To the extent a regulation conflicts with a statute, the statute prevails, according to rules of statutory interpretation by the Nevada Supreme Court.

NRS 616A.400 gives authority to the DIR to regulate the forms used to process workers’ compensation claims.  DIR passed NAC616A.480(4) which requires insurers and third-party administrators to use the forms that DIR has written and listed in that regulation. One of those forms is the  D-36  used by insurers to ask about prior medical conditions that might affect the current claim.  This form has a medical release incorporated into the form.  It is a limited release form and only requests records pertinent to the injury. Insurers who want to use a different form are supposed to ask permission from DIR.

I doubt that DIR would authorize an insurer to use a very broad medical release form that can be used to obtain medical records for all past treatment, regardless of its relevancy to the current injury.  If DIR were to approve such a form, it is my opinion that it would be a violation of the first law I cited, NRS 616C.177, that limits inquiries and releases to records of preexisting conditions that are reasonably related to the claim.

Rather than just fail to return an overly broad release, I recommend that you print the D-36 form that is linked in this post, complete it as to any body parts that are at issue with this claim, and tell the adjuster that you will not sign other forms that are not authorized by DIR.