Switch back to WCC classic look

WorkCompCentral – Workers' Compensation Education, Courses, News and Information

Call or email us anytime
(805) 484-0333
Search Guide
Today is Tuesday, October 16, 2018 -

News Articles

Worker's Malpractice Action Against UR Doctor Comes to End

  • State: California
  • Topic: WEST
  • -  890 views
  • - Average time spent on item: 72 minutes
  • - Popular with: Legal
  • -  0 shares
The 4th District Court of Appeal put the final nail in the coffin of a worker’s malpracti…

Purchase this story for only $7.99!

Add to Cart

For access to all our articles, check out our subscription options.

2 Comments (3 Replies)

Log in to post a comment

Close


Do not post libelous remarks. You are solely responsible for the postings you input. By posting here you agree to hold harmless and indemnify WorkCompCentral for any damages and actions your post may cause.
Gary Tobia Oct 12, 2018 a 5:10 am PDT

That's one of many reasons applicants should self procure outside the WC system.

Meredith Wisler Oct 12, 2018 a 8:10 am PDT

How do they go about doing this? Most cannot afford to pay for COBRA coverage in addition to their rent, utilities and food while on TD. Once TD ends all bets are off and many lose their homes/apartments. Even if they can afford to pay to self procure, doctors in my area will not see anyone if it relates to their work comp case. No doctors or pharmacies will provide on a lien basis under the comp case. So, please tell me how injured workers can pay for their own medical treatment to cure or relieve them of the effects of their industrial injury. I also don't think that is what was intended when the comp system was set up.

Steven Chandler Oct 12, 2018 a 8:10 am PDT

And if they do, they must pay for that treatment out of their own pocket. Worse yet, if there's no other evidence to substantiate the injury - then any finding of disability cannot be solely or even mostly based on such reports. Good advice, if you're looking to damage someone's claim and create unnecessary obstacles in the system. The situation above could've been easily avoided. The sudden decertification could've been resolved by having another physician within the network submitting a request a request for lesser amounts or something to assist with the withdrawal and other effects. This is clearly laid out in the RFA regs as to the appeal process and what constitutes the need for a new UR. A change in Dr would suffice. An ER Dr would require a new UR and probably expedited or concurrent.

Charles Cleveland Oct 12, 2018 a 9:10 am PDT

The deck is completely stacked against injured workers with medical care delivery. Since the introduction of utilization review in 2003, medical provider networks in 2004, IMR in 2012, abysmal reimbursement rates, oppressive MPN contracts and now no recourse for medical malpractice, the system has become unworkable for both doctors and patients.

Kimberley J Pryor Oct 12, 2018 a 2:10 pm PDT

MEDICAL BOARD COMPLAINTS SHOULD STOP BAD DOCTORS!!

Featured Video

Upcoming Events

Workers' Compensation Events

Social Media Links


WorkCompCentral Workers' Compensation
News and Education
4081 Mission Oaks Blvd
Camarillo, CA 93012
(805) 484-0333