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The Lawyer's Guide to the AMA Guides and California Workers' Compensation, 2014 Edition
Publisher: Matthew Bender Helps you understand how the AMA Guides applies to California workers' compensation cases.
ISBN:9781522122210 2017 Edition Quantity:
ISBN:9781522122227 2017 Edition Quantity:
• Chapter 1 contains definitions of common terms and a list of acronyms along with explanatory material, as well as a list of common medical conditions by AMA Guides chapter. • Chapter 2 covers the effects of SB 899 and SB 863 reform legislation and the application of the AMA Guides to California workers' compensation cases. This chapter teaches you how to do a rating string under the 2005 PDRS and 2013 PDRS. • Chapter 3 is a chapter-by-chapter analysis of the AMA Guides and includes detailed references to the tables and figures in the Guides, a listing of FEC adjustments for each chapter of the Guides, and instructions for how to reach a pie chart for upper extremity impairments. • Chapter 4 contains examples of AMA compliant and non-AMA compliant medical reports. • Chapter 5 contains analysis and discussion of developing the record to establish accurate ratings under the AMA Guides. • Chapter 6 contains the SB 863 Checklist & Reference Guide, along with examples of how to determine permanent disability ratings using the AMA Guides and the 2005 and 2013 Permanent Disability Rating Schedules. • Chapter 7 contains summaries of cases and WCAB panel decisions relating to the AMA Guides, the 2005 PDRS, and apportionment, along with expert commentary. • Chapter 8 provides a framework for discovery in cases that involve the AMA Guides and covers medical-legal issues related to rebutting a strict impairment rating under the AMA Guides 5th edition. • Chapter 9 provides medical information every lawyer and judge should know about specific parts and regions of the body we commonly see in our cases. • Chapter 10 provides a detailed discussion of psychiatric injuries—how they are now diagnosed under the DSM-5, how and when they can be rated for permanent impairment, possible alternative rating methods not using the GAF scale, and apportionment issues. • Appendix A contains the 2005 PDRS, which is reprinted in full for your convenience. • Appendix C contains permanent disability money charts. • Detailed Index to help you quickly find what you need.
The eBook features links to Lexis Advance for further legal research options. Ch. 1 How to Use This Guidebook § 1.01 Purpose and Organization of This Guidebook
§ 1.02 AMA GuidesFrequently Used Terms
§ 1.03 AMA GuidesCommon Acronyms
§ 1.04 AMA GuidesCommon Medical Conditions by AMA Guide Chapter
Ch. 2 Permanent Disability Ratings Under SB 899 and SB 863
§ 2.01 The Effects of Reform Legislation
§ 2.02 Overview of Permanent Disability Rating Schedule
§ 2.03 Application of AMA Guides to California Workers ' Compensation Cases
§ 2.04 Compliance of Medical Reports With Requirements of AMA Guides
§ 2.05 Pain Adjustments
§ 2.06 Psychiatric Injuries
§ 2.07 Model Joint AME and Panel QME Letters
Ch. 3 AMA Guides: Chapter-by-Chapter Analysis
§ 3.02 AMA Guides Chapter 1: Philosophy, Purpose, and Appropriate Use of the Guides
§ 3.03 AMA Guides Chapter 2: Practical Application of the Guides § 3.04 AMA Guides Chapter 3: The Cardiovascular System: Heart and Aorta; Chapter 4: The Cardiovascular System: Systemic and Pulmonary Arteries
§ 3.05 AMA Guides Chapter 5: The Respiratory System
§ 3.06 AMA Guides Chapter 6: The Digestive System
§ 3.07 AMA Guides Chapter 7: The Urinary and Reproductive Systems
§ 3.08 AMA Guides Chapter 8: The Skin
§ 3.09 AMA Guides Chapter 9: The Hematopoietic System
§ 3.10 AMA Guides Chapter 10: The Endocrine System
§ 3.11 AMA Guides Chapter 11: Ear, Nose, Throat, and Related Structures
§ 3.12 AMA Guides Chapter 12: The Visual System
§ 3.13 AMA Guides Chapter 13: The Central and Peripheral Nervous System
§ 3.14 AMA Guides Chapter 14: Mental and Behavioral Disorders
§ 3.15 AMA Guides Chapter 15: The Spine
§ 3.16 AMA Guides Chapter 16: The Upper Extremities
§ 3.17 AMA Guides Chapter 17: The Lower Extremities
§ 3.18 AMA Guides Chapter 18: Pain
§ 3.19 Pain Add-on for Sleep Disorders, Sexual Dysfunction and Psyche as Compensable Consequences of Physical Injuries
Ch. 4 Substantial Medical Evidence in a AMA Guides Case
§ 4.01 Model Sequential Step Analysis
§ 4.02 Substantial Evidence Defined
§ 4.03 AMA Compliant Reports
§ 4.04 The Good, the Bad, and the Ugly: Examples of AMA Compliant and Non-AMA Complaint Medical Reports
Ch. 5 Developing the Record to Establish Accurate Ratings Under the AMA Guides
§ 5.02 Justification for Use of the Guides in Workers' Compensation Cases
§ 5.03 Development of the Record Using AMA Guides Chapters 1 and 2
§ 5.04 Population Averages
§ 5.05 Age or Gender Related Impairments
§ 5.06 Apportionment, Duplication, and Overlap
§ 5.07 Risk Factors and Causation of Permanent Disability
§ 5.08 Use of Clinical Judgment
§ 5.09 Practical Applications of the Guides
§ 5.10 Measurements Must Be Reliable
§ 5.11 Assistive Devices
§ 5.12 Side Effects of Medication
§ 5.13 Spinal Injury Cases--DRE vs. ROM Methods
§ 5.14 Muscle Strength Deficits
§ 5.15 How to Rate Chronic Pain Syndromes § 5.16 Complex Regional Pain Syndrome
§ 5.17 Thoracic Outlet Syndrome
§ 5.18 Failed Lumbar Syndrome
§ 5.19 Rating Chronic Pain in the Absence of Objective Medical Evidence
§ 5.20 Rating Narcotic Addiction and Dependency
§ 5.21 Multiple System Impairments
§ 5.22 Sleep Disorders
§ 5.23 Obstructive Sleep Apnea
§ 5.24 Fibromyalgia
§ 5.25 Pain Add-Ons
§ 5.26 Zero Percent Impairment Ratings
§ 5.27 Headaches
§ 5.28 Between a Rock and a Hard Place: Permanent Total Disability Under labor Code § 4662
§ 5.29 The Cannon Decision: Permanent Objective Medical Diagnosis
Chapter 6SA SB 863 Checklist & Reference Guide Chapter 6 Application of AMA Guides and 2005 PDRS, and Effect of SB 863
§ 6.01 Introduction § 6.02 Example 1: More Than One Body Part Injured in One Injury
§ 6.03 Example 2: Upper Extremity Injury and Its Sub-Regions
§ 6.04 Example 3: More Than One Body Part Injured in More Than One Injury
§ 6.05 Example 4: Failed Back Case With Psychiatric and Pain Sequelae § 6.06 Example 5: Voice/Speech Impairment
§ 6.07 Example 6: Recurrent Disc Herniation
§ 6.08 Example 7: Multiple Upper Extremity Injuries Ch. 7 Case Summaries With Commentary
§ 7.02 Permanent Disability, Apportionment, and PDRS § 7.03 Applicability of 2005 PDRS to Injuries Prior to 1/1/2005
Ch. 8 Developing the Record and Rebutting the 2005 PDRS
§ 8.02 Direct and Cross Examination of Applicants
§ 8.03 Direct and Cross Examination of Physicians
§ 8.04 Medical Questions on Pathology
§ 8.05 Rebutting the 2005 PDRS - Before Almaraz-Guzman and Ogilvie Cases
§ 8.06 Almaraz-Guzman and Ogilvie WCAB En Banc Decisions § 8.07 Rebutting a WPI Rating - Post Almaraz-Guzman II § 8.08 Rebutting a Strict Impairment Rating Based on the AMA Guides
§ 8.09 Example #1: Lower Extremity Cases and table 17-2, The Cross-Usage Chart § 8.10 Example #2: Ferras v. United Airlines—Adductor Tendon Tear
§ 8.11 Example #3: Four Objective Finding, But Only One Ratable Impairment—Knee Injury § 8.12 Example #4: Rotator Cuff Tears, Shoulder Impingement Cases, Elbows, Any Upper Extremity Joint Involvement § 8.13 Example #5: Fractured Elbow With Avascular Necrosis and Contracture § 8.14 Example #6: Injured Worker Has Lost Significant Function in One or Both Upper Extremities Due to Multiple Impairments § 8.15 Example #7: Carpal Tunnel Syndrome as the Only Diagnosis § 8.16 Example #8: Muscle Strength Loss, Loss of Motion and Resection Arthroplasty for Shoulder § 8.17 Example #9: Various Ways to Rebut Strict Spinal Impairment Ratings § 8.18 Example #10: Reactive Airway Disease as a Result of Exposure to Fumes § 8.19 Example #11: Recurrent Back Sprains § 8.20 Example #12: Carpenter's Close Encounter With Table Saw Chapter 9 Medical Information Every Lawyer and Judge Should Know
§ 9.02 Peer Review Defined
§ 9.03 Residual Functional Capacity
§ 9.04 Medical Resources
§ 9.05 Medical Glossary
§ 9.06 Medical Information
§ 9.07 Medications
§ 9.08 Apportionment
Chapter 10 Psychiatric Injuries
§ 10.02 Proof of a Psychiatric Claim
§ 10.03 Use of Psychiatrist or Psychologist
§ 10.04 Cross-over With Civil Causes of Action
§ 10.05 DSM-5 Adopted by American Psychiatric Association
§ 10.06 Elimination of Axes I through V; Introduction of World Health Organization Disability Assessment Schedule (WHODAS) § 10.07 Other Alternative WPI Rating Methods
§ 10.08 Pain Disorders
§ 10.09 Post-Traumatic Stress Disorder Under the DSM-5
§ 10.10 Adjustment Disorders
§ 10.11 Depression
§ 10.12 Anxiety Disorders
§ 10.13 Panic Disorder
§ 10.14 Determination of WPI Ratings Using the GAF Score
§ 10.15 Apportionment of Psychiatric Injuries
§ 10.16 Rebutting a GAF Score
§ 10.17 How to Rate Chronic Pain Syndromes
§ 10.18 Rating Chronic Pain When There Is Objective Medical Evidence
§ 10.19 Rating Chronic Pain in the Absence of Objective Medical Evidence
§ 10.20 Rating Narcotic Addiction and Dependency
§ 10.21 Sleep Disorders
APPENDIX A 2005 Permanent Disability Rating Schedule APPENDIX B [Reserved] APPENDIX C Permanent Disability Rates INDEX Robert G. Rassp, Esq., Editor-in-Chief
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