Author: Jeana Wines
Pre-Authorization of Medical Services: New Guidance From WCD
The WCD issued a significant decision addressing an insurer’s obligation to respond to requests for pre-authorization by medical providers. Our rules impose specific processing requirements related to elective surgery or diagnostic imaging, but adjustors frequently receive requests to pre-authorize other therapies and referrals. The provider wants to be sure they…
The Latest on Independent Contractors
I had a recent victory from the Office of Administrative Hearings setting aside an Employment Department tax assessment based on the purported employee’s status as an independent contractor. The ALJ relied on a line of recent Court of Appeals cases that have trended toward applying a much broader interpretation of…
The Sweet Taste of Victory
We always love a good win at SBH, but it is especially sweet when hard work results in important legal precedent. The Court of Appeals decision in Brumage v. ESCO Corp. became final last week, after the Supreme Court declined claimant’s Petition for Review. 248 Or.App. 399 (2012). In this…
