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Jerrold Garrard Sep 28, 2016 a 6:09 pm PDT
I would like to clarify one comment attributed to me, per the 5 day time-frame to make a determination on medications. IF we get complete reports from providers, 5 days is ample time to review a request, for medication, or otherwise. With medications, we are often trying to expedite an approval based solely on a prescription, and find out that the report hasn't even been transcribed yet. Often the report that supports the prescription is not available for a week or more. THAT is what sometimes complicates the time-frames.
John Swan Sep 28, 2016 a 7:09 pm PDT
I think the intent of the law to go UR free for the first thirty days is to give the medical providers a chance to treat and heal the injured party without the paperwork," mother may I" hassle of Utilization review. Not to order everything they can get away with. Whether in an HCO or MPN or not employers will have the ability to direct care to competent medical providers. Taking the time and putting some effort into finding the best providers for your employees is the key to success with this bill.
Dr. Robert Weinmann Nov 3, 2016 a 2:58 pm PDT
SB 1160 (Mendoza) actually guarantees that it will take more time and effort than heretofore to find willing providers, never mind "finding the best providers." The bill is an intentional slap-in-the-face to those willing physicians who used to accept liens and who now are well advised to discontinue so doing. -- robert L. Weinmann, MD, editor, the Weinmann Report, www.politicsofhealthcare.com
Dr. Robert Weinmann Nov 3, 2016 a 2:58 pm PDT
SB 1160 (Mendoza) actually guarantees that it will take more time and effort than heretofore to find willing providers, never mind "finding the best providers." The bill is an intentional slap-in-the-face to those willing physicians who used to accept liens and who now are well advised to discontinue so doing. -- robert L. Weinmann, MD, editor, the Weinmann Report, www.politicsofhealthcare.com
Andre Cinco Oct 25, 2016 a 8:10 pm PDT
The Bill specifically allows for retrospective review of treatment provided within the first 30 days to check on the PTP's performance and compliance. It would make no sense for the PTP to go hogwild if he/she wants to continue to have Work Comp patients.