10-1-2018; Trying to Make Sense of Nonsense, Part Last; John Karis on PTSD Denial for Firefighter; Shawn Biery Webinar on IL WC PPP's and more

Synopsis: Trying to Make Sense of Nonsense; Part Last.

 

Editor’s comment: Following up on last week’s KCB&A Update article on how crazy the coming statewide election is, someone told me IL State and local gov’t workers are hard-working family people and deserve more respect. I have trouble respecting folks that have to know they are bankrupting our State and local governments when they retire to become wildly wealthy, similar to the gov’t workers causing financial havoc in the Country of Greece and Puerto Rico.

 

Another reader sent me a simple outline of what is causing the State of Illinois to move inexorably to much, much higher taxes while still inevitably approaching all-out bankruptcy and financial catastrophe. In my view, our State still has billions in billions in unpaid bills from vendors—that means the State is “bankrupt” even though it hasn’t and can’t technically file for what we all understand “bankruptcy” to be. A business that isn’t paying its bills is arguably “bankrupt” by my definition of the term. Please also note State of Illinois gov’t debt is well into the hundreds of billions and may get to a trillion in debt because there is no stopping simple math.

 

I characterize Illinois State and local government pensions as “fake” because there is no hope, none, that any participant contributes anything like the amount they recover from the fake gov’t pension plans if they live five years after retirement. The system is designed to make innocent folks like my readers think there is something like a Fort Knox of pension money that is being used to pay these fake pensions—in fact, the fake pension money is coming from current tax dollars and more and more demands on current tax dollars will be made. I always remember how folks became infuriated with gov’t welfare because it was some citizens getting something for nothing. I assure you fake gov’t pensions mean thousands of retired gov’t workers are getting something, actually billions, for nothing.

 

If you take a look at this safe link:

 

http://www.taxpayereducation.org/wp-content/uploads/2018/06/2018-100k-4.pdf

 

You will note there are literally thousands of former State and local workers who are legally being paid billions from our current tax dollars in retirement when they contributed only a fraction of their eventual payout into Illinois fake government pension programs. That math continues to rise and rise as more folks hasten into gov’t retirement to lavish in guaranteed annual fake pension increases. When working for State gov’t, you aren’t guaranteed raises—when you retire, you are. When working for State gov’t, you pay state taxes. When you retire, you don’t.

 

For one example of a fake gov’t pension, please take a look at Henry S. Bangser who was the Superintendent of New Trier Schools back in the day. You will note his entire fake pension contribution to become vested was about $336K. His current fake gov’t pension payout to date is $3,069,328 or almost ten times his contributions. His projected lifetime payout is just under $10M or about thirty times his contributions. I strongly urge my readers to note former superintendent and now California resident Bangser isn’t breaking any law—he is simply and legally taking full advantage of his advantage in collecting our tax dollars, as he may do for thirty-forty more years. If he lives long enough, simple math will dictate his annual fake pension payout will inevitably double and quadruple to over a million a year.

 

Why Aren’t the Election Candidates Talking About This Hilarious Situation?

 

As I have told my readers repeatedly, these pension participants and the next generation of such participants is a giant voting bloc that will organize and seek to vote out anyone who threatens their impossible-to-fund fake gov’t pensions.

 

What Does This Mean to Illinois Workers’ Comp?

 

My main concern is when the higher income tax promised by the leading gubernatorial candidate JB Pritzker hits, businesses and jobs will leave the State, never to return. Treasure Island Food Store by me in Wilmette just closed all their stores. Most of the north suburbs of Chicago are seeing jobs and small to mid-sized businesses shuttering. When and if JB Pritzker gets a constitutional amendment to allow him to impose a graduated and regressive income tax, more jobs and businesses are sure to leave. Real estate taxes are hurting the sales of mid- to big homes and commercial buildings.

 

My main concern with JB Pritzker becoming Governor is the lack of anyone blocking IL State Democrats who can and will do whatever they can to make this an even more one-party state, like the City of Chicago has been basically forever. One-party gov’ts aren’t good in a democracy.

 

That said, I can’t say much about Gov. Rauner’s current election bid. It seems like he made every mistake, error and goof anyone could possibly make in what might be the most difficult job in State government. He did a solid job bringing in moderate and very professional hearing officers at the IWCC. I am forecasting JB Pritzker isn’t going to do nearly the same level of hiring.

 

Noting Illinois jobs are fleeing our nutty State, I will be interested to watch to the end of the year to see if the IL WC system has 40,000 new filings in 2018. While claims continue to drop, the IWCC keeps adding more and more staff. Watch this space for news as it comes in.

 

I appreciate your thoughts and comments. Please post them on our award-winning blog.

 

Synopsis: IL Appellate Court Finds No link to Between Firefighter’s Claim of PTSD and His Duties. Research and analysis by John Karis, J.D.

Editor’s comment: The First District Appellate Court recently affirmed the decision of a Pension Board denying line-of-duty disability to a firefighter claiming his PTSD was caused by his work duties. We feel this ruling and article is required reading for anyone defending a PTSD claim in this State.

In the case of Covello v. Village of Schaumburg Firefighters' Pension Fund, Steven Covello (Covello) was a firefighter/paramedic in the Village’s fire department. When Covello was hired, he passed a physical and psychological exam required by the Village. Before beginning his career as a firefighter with the Village, Covello never received psychological or psychiatric treatment for any condition

 

Beginning in October 2007 and throughout the remainder of Covello’s career as a firefighter, Dr. Thomas Dennison, a psychiatrist, treated Covello for anxiety, depression, irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), hoarding, stuttering, and obsessive compulsive disorder. Dr. Dennison treated Covello’s IBS, GERD, and stuttering conditions with medicine and also prescribed an antidepressant. Covello would generally see Dr. Dennison anywhere from once a month to once every three months depending on his level of stress and anxiety.

 

During the first five years of treatment, Covello did not discuss any issues involving work with Dr. Dennison, and he did not express any work-related anxiety. In fact, during a treatment session in 2009, Covello mentioned that his fellow firefighters were his major support system. During these sessions, Covello instead talked about various personal issues, including his relationship with his son, his broken engagement, his mother’s death, as well as his hoarding tendencies, which grew worse over the years. Because of his numerous issues, Dr. Dennison had over the years recommended Covello see a counselor, but Covello failed to follow this advice.

 

Over his 18-year career as a firefighter, Covello responded to numerous calls involving gruesome injuries, and some of the victims that he attempted to save died. But on November 1, 2008, Covello responded to an “officer down” call that came in at around 11 p.m. involving Officer Frank Russo of the Village’s police department. Because both Covello and Officer Russo worked for the Village, they got to know each other when they responded to the same calls, but they did not socialize outside of work. Covello transported Officer Russo in the ambulance to the hospital where he was later pronounced dead.

 

Later on, Covello had a work related injury involving his abdomen and was eventually cleared for surgery and had his hernia repaired on October 30, 2013. On October 25, 2013, days before Covello’s hernia surgery, he filed an application for line-of-duty disability pension benefits under the Firefighters’ Pension Fund of the Illinois Pension Code. He alternatively applied for nonduty disability pension benefits. On his disability application, Covello listed November 1, 2008, the date he responded to the call involving Officer Russo as his date of injury. Covello listed PTSD as the reason for his disability. The Village was allowed to intervene in the proceedings based on its status as Covello’s employer and a fiduciary charged with the proper expenditure of pension funds.

The Pension Board held Covello’s disability hearing on November 20, 2015, and January 22, 2016. During the hearing, Covello recounted several on-duty calls involving motorcycle and automobile accidents that he found traumatic. In one accident, a woman in an automobile was crushed by a semi-truck, and he had to put her scalp back together. Covello blamed himself and felt responsible when a patient did not survive. Covello also discussed the call involving Officer Russo.

On April 20, 2016, the Pension Board issued its written decision and awarded Covello a nonduty disability pension of 50% of his salary. The Pension Board explained that it did not find a link between Covello’s disability and an act of duty but did find that he was permanently disabled from service as a result of conditions that were not caused by any act of duty.

On May 19, 2016, Covello filed a complaint for administrative review under the Illinois Administrative Review Law, requesting the circuit court find that he was entitled to line-of-duty disability pension benefits and to grant his motion that was not expressly ruled on by the Board to modify the pension’s effective date from December 5, 2014, to February 13, 2015. The circuit court affirmed the Pension Board’s finding that Covello was not entitled to a line-of-duty disability pension because he failed to demonstrate that an on duty act contributed to his permanent disability.

Covello appealed the final decision denying line-of-duty disability pension benefits entered by the Pension Fund. On review, Covello claimed the Pension Board applied the wrong standard in weighing the evidence because the standard is not whether an act of duty was the sole or primary cause of his disability but whether an act of duty was a contributing cause of his disability.

The Appellate Court affirmed the circuit court’s decision noting although Covello during the pension hearing recounted various calls that were indisputably traumatic, he identified the incident involving Officer Russo as the cause of his PTSD on his disability application. Importantly, Covello did not identify any other incidents on his application, either individually or cumulatively, as contributing to his PTSD. The court further noted even if they were to consider the numerous traumatic calls that Covello undoubtedly responded to throughout his career, there was no evidence they triggered PTSD or aggravated Covello’s preexisting mental health issues. Specifically, Covello (1) never mentioned any anxiety or stress triggered by an onduty call to either his supervisors or Dr. Dennison, (2) always completed his shifts, (3) never missed a shift following a call, and (4) continued to receive favorable performance evaluations.

It is well known that firefighters and other first responders are repeatedly exposed to stressful and gruesome events. However this appellate court decision shows us this is not enough to qualify for a duty disability. There needs to be a specific event or a series of events that triggers the disability and evidence that shows that was truly the cause. 

This article was researched and written by John Karis, JD. You can reach John 24/7/365 for questions about general liability, employment law and workers’ compensation at jkaris@keefe-law.com.

 

Featured Event:

 

 

IL Workers' Compensation

Preferred Provider Program

 

Tuesday | October 30th, 2018

11:00am - 12:30pm

 

 

 

Join the Illinois Chamber and Shawn R. Biery from Keefe, Campbell, Biery & Associates for a webinar on October 30, 2018 to learn about Preferred Provider Programs as they relate to Illinois Workers’ Compensation.

 

Shawn will summarize the language of the Illinois WC Act and the path of PPPs in Illinois from legislation to implementation and current updates. Learn the potential impact on Workers’ Compensation if you join a PPP and potential strategies to increase your ability to manage workers’ compensation claims and navigate the medical issues which create much of the stress and drama involved with workers’ compensation.

 

Register Here

9-24-2018; Trying to Make Sense of Nonsense--Incoming Gov Pritzker and What He Means to Our State + IL Work Comp; Minimizing Wage Loss and Line-of-Duty Claims for High-Income/Wage Workers in IL WC

Synopsis: Trying to Make Sense of Nonsense--Incoming IL Gov Pritzker and What He Means to Our State Gov’t + IL Work Comp.

 

Editor’s comment: I watched a recent debate with current IL Gov. Bruce Rauner and the leading gubernatorial candidate JB Pritzker with disgust and dismay. They didn’t truly address our State’s Gigantic 900lb. Pink Gorilla—IL Govt’ Pension system that continues to require more and more of our tax dollars. Unfundable and hilariously unfair IL Gov’t pensions are taking one of every four of your state tax dollars and that relative amount is going to continue to spiral until something is done about it. Right now, all they are doing is raising and raising taxes and looking for new taxes.

 

As you read this, Illinois has the highest combined income, real estate and sales tax load on Illinois citizens in relation to every other State in the country. What we get for that shocking and increasing tax load are over-staffed, over-compensated and “over-retired” state and local gov’t workers. These workers aggressively politically organize/unionize and vote, vote and vote some more for ever-higher salaries, benefits and unfundable gov’t pensions for themselves. No candidate is truly addressing the gov’t pension issue for fear of alienating and motivating this giant voting bloc. If you want my simple spin on why such gov’t pensions are truly unfundable, send a reply.

 

Further, no governor candidate is truly addressing this phenomenon other than to hear Gov. Rauner complain about “corruption,” whatever that might mean. Candidate Pritzker can be expected to raise our State income tax rate from the current 4.95% to 7-8%. Mr. Pritzker is not shy to advocate for a constitutional amendment for a “graduated” and regressive income tax to insure we continue to over-tax IL doctors, lawyers, accountants, stock brokers, computer experts and other hard-working professionals. I strongly suggest if candidate Pritzker isn’t happy with the state taxes he pays, he should immediately start donating millions or billions to the State to insure he pays whatever he feels his “fair share” should be. I again predict if we put in an even higher graduated income tax to vex and oppress our best and most talented folks, they are going to move out of this State quickly.

 

In short, we can be sure higher taxes and fewer jobs are going to impact the IL WC system over the next four years.

 

Illinois Statewide Minimum Wage Will Almost Double Shortly After Gov Election Goes To Pritzker

 

Candidate Pritzker is leading the election polls by double-digits and appears to be a lock to win. What are called “Republicans-Against-Winning” have their silly splinter candidate running in a fashion that can only insure he and his silly supporters block Gov Rauner’s efforts to keep his job. It is one of the oddest things about the Republican party in this nutty state. They are almost proud to empower IL State Democrats in a vain effort to maintain their supposed “purity” on one minor issue to which they are eternally devoted. Happy to explain this phenomenon further if you want it—send a reply.

 

In my seasoned and veteran view, as fast as JB Pritzker wins the election in about five-six weeks, we will see the $15 per hour minimum wage bill hit the IL House and Senate. This new law is going to change the IL WC system in several ways.

 

First, full-time workers at any level across our state will be making something like $600 a week making their TTD rate about $400 and PPD rate about $360. That is going to cost WC insurers and self-insured employers more money in WC benefits.

 

Next, this new higher wage is going to drive many companies to automate many jobs. We have already seen McDonald’s put in kiosks to have customers automatically order food and allow them to lay off some workers.

 

Further, my sister is an exec at a supply company that has minimum wage workers in this state customize and assemble supply orders for shipping to clients. She has advised they are already in the process of moving that work to other states—once moved, those jobs won’t be back. That is going to impact lots and lots of folks and will eventually impact the IL WC system.

 

Finally, please note any IL WC claim involving pending wage loss differential benefits will need to be re-reserved as the higher minimum wage is certain to lower wage loss outcomes. Please put current wage loss diff settlements on hold for about sixty days. If you want further information or advice on this, send me a reply.

 

Will the IL WC Commission Dramatically Change?

 

To me, the expected election of JB Pritzker signals the end of any true ideological or political limit on IL State Democrats. I am told by my sources the jobs of current IL Arbitrators and Commissioners are “safe” and there won’t be a giant turnover of hearing officers. I am sorry and with respect, I don’t believe or trust my sources. IL State Democrats are certain to want to cleanse the IL WC Commission from top to bottom. They may not do so immediately but I have never seen IL State Democrats not “take advantage of their advantage.” They are going to want to reward their supporters and politically connected folks to bask in the money, prestige and loyalty that comes from getting easy and overstaffed State jobs.

 

Please note the impact of such folks taking IWCC jobs isn’t going to immediately impact us—it takes a couple of years for new hearing officers to have a demonstrable impact. I also feel the inbound Democrat appointees won’t be wacky zealots. But I am sure they are going to want to quietly take care of their cronies and buddies across our State and IL WC benefits are certain to rise. I also feel compensability may take a hit as Democrat theories start to flow in to decisions and settlements.

 

We are just going to have to wait and see how this plays out. Please send your thoughts and comments or post them on our award-winning blog.

 

 

Synopsis: Minimizing Wage Loss Diff and Line-of-Duty Claims for High-Income/Wage Workers in IL Work Comp.

 

Editor’s comment: I have told you before and I will tell you again. The best way to avoid/minimize wage loss diff claims in the construction and trucking industries along with line-of-duty disability claims for police/firefighters is to move them into 911 Dispatch jobs when and where possible. In IL WC such workers may be entitled to six and seven-figure benefits due to the way our nutty system is set up. In my view, when you see a high wage worker undergo serious shoulder or spinal surgery, start the training for 911 work sooner rather than later.

 

USA Today reports in today’s edition there are almost 100,000 emergency 911 dispatch jobs in this country and every one of those jobs pays very, very well. There is significant turnover due to the jobs being 24/7/365 work, so there are always openings.

 

In the greater Chicago area, we have seen starting pay go as high as $80K+ a year with full benefits. These jobs are fully sedentary and therefore perfect for all the trades mentioned above. Please note most police and firefighters are already trained in most of the things an emergency dispatcher has to do and the transition so be smooth.

 

I don’t understand why it isn’t a violation of the Americans with Disabilities Act to put an injured police officer or firefighter that has job restrictions on a line-of-duty disability pension without first training them to do 911 emergency dispatch. As I have said repeatedly, “there oughta be a law.”

 

Please see this graphic from USA Today:

 

 

If you are interested in moving your injured workers into 911 emergency dispatch work and need more advise, please send a reply.

 

I appreciate your thoughts and comments. Please post them on our award-winning blog.

 

 

Synopsis: CALLING ALL CHARITABLE GOLFERS !!!    Sept 29th is your chance to help make a difference in the lives of children with brain cancer.

 

Editor’s comment:  As many of our clients and fans of the KCBA update are already aware, we work hard to support charities which touch our lives.  Please consider playing in the 3rd Annual Kiss of Hope Open. The Open will be held on September 29th with a 12 noon shotgun at Randall Oaks Golf Course in West Dundee. The day will include many on-course contests, raffle prizes, silent auction AND a helicopter ball drop! KCBA is sponsoring a refreshment cart as well-so come have a refreshment with the Bierys!  Gather your group and click on the link http://ckmc.org/golf2018/ to register to play and make a difference.  

 

Cancer Kiss My Cooley® is a 501c(3) charitable foundation that was created in memory of a very special boy, Carter Kettner. Carter was the 6 year old son of Joe and Cinnamon Kettner. At age 5, he was diagnosed with an inoperable malignant brainstem glioma on February 17th, 2009. He loved singing, watching movies, and riding his John Deere tractor. His thoughtfulness and appreciation towards others was unfounded. He was a perfect gentleman, and met every girl with a kiss on the lips. His illness didn’t make him the boy he was; cancer was just something that happened to him. He continued to live every day, trusting his mommy and daddy. He loved his crazy little brother Bowen, and he laughed though his antics, calling him a beast and a freak. He loved his hospitals, doctors and nurses, and did everything that was ever asked of him. Carter was perfection in a son. He was indeed, the meaning of HOPE.  Carter passed away 15 months into his journey (on Shawn Biery’s birthday) and after living through this terrible journey and receiving an outpouring of support, the Kettner’s decided that other families living with cancer should share in similar blessings. So, in December 2010, Carter’s parents came together with an extraordinary group of individuals who were always dubbed “Carter’s Crew”. They incorporated together to form cancer kiss my cooley. CKMC® was named after a phrase that Carter used to say when receiving treatment. We called his backside his “cooley”, which is Italian slang for “rear end”. He would sing “cancer kiss my cooley!” pointing to his backside. Since Carter’s passing and this new idea, the phrase has taken on new meaning. We want to show families that they can also tell cancer to “kiss it”! Live your lives with cancer; fight, yes – but live; make memories, and keep HOPE. So indeed, the Kettner journey did not end; it will continue on.

 

So please consider taking some time to spend September 29th making a difference at Randall Oaks Golf Course in West Dundee. Click on the link http://ckmc.org/golf2018/  to register to play or contact Shawn Biery at sbiery@keefe-law.com for more details.

9-17-2019; Thoughts from Two WC Experts on the Crisis that is IL SB 904; Save the Date for 9-29-2108 Charity Golf to Fight Cancer and more

Synopsis: Thoughts from Two Experts on the Coming Crisis that is IL WC SB 904.

 

Editor’s comment: Below you will see more thoughts from Dr. David Fletcher who is a strong proponent of the new legal model of IL SB 904 that may divide resolution of workers’ comp claims in this State between our IWCC and the Circuit Courts in the 102 Counties across this State. You may note Dr. Fletcher is concerned about timely collection of WC medical bills, the addition of statutory interest to such billing and the IL WC Medical Fee Schedule. I would comment on my view that IL SB 904 doesn’t directly address adjudication of the accurate medical fee schedule amounts due and owing to a treating doctor or other healthcare giver.

 

For myself, my colleagues on both sides of the IL WC Bar, numerous insurance carriers and TPA’s, I want to challenge the members of Illinois Workers’ Compensation Commission, the IL WC Advisory Board, the IL WC Lawyers Association and all other interested persons and organizations to stop sitting on their hands about this proposed legislation. The Illinois State Medical Society and Dr. Fletcher repeatedly indicate they have the votes and will rapidly override the Governor’s amendatory veto in the November fall legislative veto sessions. When and if that happens, the IL WC system is going to be shaken to its core. In my view, the number one benefit in WC across the globe is medical care and the number one priority of any effective WC system should be proper and timely payment for medical care rendered.

 

I have been advised the folks at ISMS feel there is an obvious legislative anomaly in not allowing doctors, hospitals and other caregivers to have standing to collect medical bills on accepted claims. A similar issue applies to the legislation that provided these same businesses with the ability to charge reasonable interest rates on such billing. In general, I agree with their concerns and last week proposed we look to other states for better solutions than IL SB 904.

 

The main complaint of IL healthcare givers is patent—the IL WC system is dramatically flawed if they have no legal or administrative “standing” to rapidly collect medical billing and statutory interest. I strongly agree with them and assert we need legislation and a strategy to allow doctors, clinics, hospitals and other medical caregivers to rapidly and smoothly use the services of the IL WC Commission to resolve their billing issues and GET PAID.

 

The main issue with IL SB 904 isn’t the overall goal—it is the problem with creating parallel venues to adjudicate WC issues. In my view this concept isn’t going to work nearly as well as the proponents of this bill feel it is. This is going to create a crisis this troubled state doesn’t need with Circuit Court judges that know little about workers’ comp being asked to become experts on it. Everyone also feels every unpaid WC medical bill may lead to litigation, causing an explosion of lawsuits unlike any this industry has ever seen.

 

I am sure the legislative experts at the IL State Chamber of Commerce and Governor Rauner are correct—we need to move/correct/retain these medical/legal issues at the IWCC now and forever.

 

If you want more details on my overall concerns, send a reply. The next part of this is from Dr. Fletcher. I send him my appreciation and thanks for letting me share it with you.

 

 

Commentary on the Amendatory Veto for IL SB904 by David Fletcher, M.D., M.P.H.

 

The Illinois medical community is very disappointed that Governor Rauner issued an amendatory veto (AV) on SB904 that was ghostwritten by his cronies at the Illinois Chamber of Commerce, which continue to propagate  the myth that Illinois has the 2nd highest medical fee schedule in the country, when in fact the most common service (evaluation and management  codes better known as office visits) are reimbursed 85% below the national median and ranks Illinois as the 43rd lowest in the country. 

 

The point that Governor Rauner, the Illinois Chamber (which fails to advocate my business interests by despite being a dues-paying member), and others opposing SB 904 fail to acknowledge is  that the medical community needs an effective solution right now.  SB 904 is not about reform, it’s about enforcing current law. 

 

Illinois physicians who render services to patients covered under the provisions of the Illinois Workers’ Compensation Act, 820 ILCS 305, are to be compensated for their services pursuant to the provisions of 820 ILCS 305/8.2. As part of that compensation, physicians are entitled to receive statutory interest on their unpaid bills as set forth in 820 ILCS 305/8.2(d)(1-3) at 1% interest per month.

 

Serving for the past eight years on the Illinois Workers Compensation Research Institute (WCRI) Advisory Committee I have consistently pointed out to the last three IWCC Chairmen Weisz, Latz, and Fratianni), who also serve on this WCRI committee,  that this interest provision is a joke.

 

I can provide hundreds of examples that demonstrate that WC insurers have skirted the law regarding interest payments. For example, I had a recent case with Liberty Mutual (08WC012059, McCool v Conair Corp) that the arbitrator ruled on 1/22/18 in favor of the injured worker who got hurt in  December 2007. My bills went unpaid for a decade despite my efforts that got this patient back to  work. Currently, I have $3,420.38 in unpaid interest payments for services I rendered 10 years ago, yet I had to bear upfront all the overhead and labor costs of my practice to care for this injured worker. I have no avenue to recover and my complaint to the Illinois Department of Insurance went unresolved, who instructed me to work it out with Liberty Mutual.

 

Likewise, why no electronic claims 7 years after the 2011 WC reform law mandated it?  Other states have electronic claims for WC claims as it is done currently in Illinois with commercial health insurers for non-work-related claims

 

By rejecting SB 904, Governor Rauner also allows insurers to continue ignoring these mandatory electronic billing requirements enacted in 2011. These insurers are clinging to an all-paper based billing system that delays care and payments (and insurers make money on the float with delay in or non-payment of services). Because there has been no enforcement of existing law, I have to employ a full-time person to process paper bills and pay for postage to submit these paper bills. I would be able to eliminate overnight  $65,000 a year in operating costs if SB 904 becomes law with its original language overwhelmingly passed by super majorities in both houses in May 2018.

 

The Illinois Chamber  wants to keep the unpaid interest dispute in the hands of the Illinois Workers’ Compensation Commission (IWCC).

 

The esteemed editor of this blog Gene Keefe last week wrote a commentary regarding SB904 and advocates a system like in Indiana (and such a system exists in Wisconsin) that

gives doctors and hospitals a say and, most important, legal standing before their  Indiana work comp Board to fight for payment of unpaid medical bills whereby the claimant is left out of the process.

 

While I would welcome a similar medical fee adjudication system in Illinois since I currently have absolutely no avenue to collect on unpaid bills, the medical community cannot count on the IWCC to fix these pressing issues. As it operates now the IWCC is not prepared to take over enforcement of existing law. Sadly, the IWCC has cancelled 4 of its last 7 Medical Fee Advisory Board meetings, including the meeting scheduled for today (September 17, 2018)

 

It’s disappointing that MFAB meeting is cancelled once again, especially since the Commission is well aware of the problems facing medical providers that is trying to be addressed in SB 904.  If the Rauner administration was serious about setting up a whole new process at the Commission to handle medical billing disputes, don’t you think they would be setting up an emergency MFAB meeting to discuss with the Medical Community

State Sen. Michael Hastings, (D-Tinley Park) the chief sponsor of SB 904 was quoted as saying  in the Work Comp Central trade publication: “It’s garbage that the governor thinks it’s OK for doctors to not get paid….This bill would have protected Illinois physicians as job creators and would have ensured that injured workers are returned to work as soon as possible.”

It is the systematic failure of the Illinois workers compensation system that drives physicians away from taking care of injured workers, which creates access to care problems, that end up costing businesses more money.

 

The Governor fails to recognize that access to quality care that SB904 help address is the real cost savings for employers. Sadly, he ignored the recommendations of his own Republican leadership which urged him to sign the bill.

 

In closing the medical community is encouraged that our message that access to care is being threatened due to non-payment of services has been heard loud and clear by both sides of the aisle in Springfield. The first week of the fall veto session starts Tuesday, November 13 and we work our legislators to override the AV. We believe that SB904 will become law with the amendment intact that was proposed by Jay Hoffman, Democrat, who heads the House labor committee.

 

David J. Fletcher – MD, MPH


Medical Director, SafeWorks Illinois

 

 

Synopsis: CALLING ALL CHARITABLE GOLFERS !!!    Sept 29th is your chance to help make a difference in the lives of children with brain cancer.

 

Editor’s comment:  As many of our clients and fans of the KCBA update are already aware, we work hard to support charities which touch our lives.  Please consider playing in the 3rd Annual Kiss of Hope Open. The Open will be held on September 29th with a 12 noon shotgun at Randall Oaks Golf Course in West Dundee. The day will include many on-course contests, raffle prizes, silent auction AND a helicopter ball drop! KCBA is sponsoring a refreshment cart as well-so come have a refreshment with the Bierys!  Gather your group and click on the link http://ckmc.org/golf2018/ to register to play and make a difference.  

 

Cancer Kiss My Cooley® is a 501c(3) charitable foundation that was created in memory of a very special boy, Carter Kettner. Carter was the 6 year old son of Joe and Cinnamon Kettner. At age 5, he was diagnosed with an inoperable malignant brainstem glioma on February 17th, 2009. He loved singing, watching movies, and riding his John Deere tractor. His thoughtfulness and appreciation towards others was unfounded. He was a perfect gentleman, and met every girl with a kiss on the lips. His illness didn’t make him the boy he was; cancer was just something that happened to him. He continued to live every day, trusting his mommy and daddy. He loved his crazy little brother Bowen, and he laughed though his antics, calling him a beast and a freak. He loved his hospitals, doctors and nurses, and did everything that was ever asked of him. Carter was perfection in a son. He was indeed, the meaning of HOPE.  Carter passed away 15 months into his journey (on Shawn Biery’s birthday) and after living through this terrible journey and receiving an outpouring of support, the Kettner’s decided that other families living with cancer should share in similar blessings. So, in December 2010, Carter’s parents came together with an extraordinary group of individuals who were always dubbed “Carter’s Crew”. They incorporated together to form cancer kiss my cooley. CKMC® was named after a phrase that Carter used to say when receiving treatment. We called his backside his “cooley”, which is Italian slang for “rear end”. He would sing “cancer kiss my cooley!” pointing to his backside. Since Carter’s passing and this new idea, the phrase has taken on new meaning. We want to show families that they can also tell cancer to “kiss it”! Live your lives with cancer; fight, yes – but live; make memories, and keep HOPE. So indeed, the Kettner journey did not end; it will continue on.

 

So please consider taking some time to spend September 29th making a difference at Randall Oaks Golf Course in West Dundee. Click on the link http://ckmc.org/golf2018/  to register to play or contact Shawn Biery at sbiery@keefe-law.com for more details.