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Thursday, April 25, 2019
Committee Passes Bill That Would Allow Penalties for Overturned UR Decisions
- State: California
- Topic: Top
- - Popular with: Legal
- - 16 shares
Legislation that the Assembly Insurance Committee passed Wednesday is intended to facilitate ongoing…
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3 Comments
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Robin Schwebs Apr 25, 2019 a 4:04 pm PDT
Is the pendulum beginning to swing?
Randy Bugg Apr 25, 2019 a 6:04 pm PDT
The clear intent is to discourage use of the only legal remedy defendants have to review whether medical treatment is necessary on an evidentary basis.
This is a punative action that does not coincide with the findings in the CWCI study.
Velinda Lynem Apr 28, 2019 a 8:04 pm PDT
I am a Primary Treating Physician.
Peer-to-Peer call Friday. Dane St gave me the provider number to call. Left voice mail X2 - no call back, date passed. This happens Over and over. Last week, talked to peer reviewer - he made his decision already before talking to me and before due date because he was busy on due date, and had no time to wait for provider call.
Reviewers behave as if the system is made for them - the PTP and patient are unimportant.
Help. MFL, MD