Call or email us anytime
(805) 484-0333
Search Guide
Today is Friday, March 29, 2024 -

News Articles

High Court Won't Review Decision Sending Doctor's RFA Through UR/IMR

  • State: California
  • Topic: WEST
  • - Popular with: Legal
  • -  3 shares
The California Supreme Court will not be reviewing a decision by the Workers’ Compensation App…

Purchase this story for only $7.99!

Add to Cart

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

2 Comments

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.
Dustin Saiidi Aug 18, 2017 a 3:08 pm PDT

So Sad... everyone is concerned about lien doctor fraud, but MPN docs aren't lien docs. They're ALREADY in the hands of the insurance companies. And what about UR/IMR doctor fraud? Back-dating of UR docs, IMR docs receiving compensation for denials...

Miguel Jaramillo Aug 18, 2017 a 5:08 pm PDT

what i still dont understand is how is it legal for a "licensed physician" to be able to determine if treatment is medically neccesary, when that "licensed physician" has not even met the applicant, and most importantly, the "licensed physician" cannot make his/her decision based on his/her expertise. If nobody knows it, they will now, the insurance companies have ALL the doctors scared to give their actual honest medical opinions on what "SHOULD" be administered as treatemnt to actually cure and relieve the applicants of their injuries. A doctor requests authorization for treatment, because they are "licensed" to make that decision, that is why they are on the MPN, as they are "preauthorized" to do that. But reality is... if the doctor is requesting anything and the insurance carrier doesnt like what the doctor is doing, the doctor gets booted off the MPN, and that is that. The Supreme court doesnt want to touch this issue because they know its is completely illegal. And that just leads me to believe that their are way bigger fish, and way more money at steak. All this is going to do is push the people, and they dont like to be pushed more than they already are.

Advertisements

Upcoming Events

  • May 13-15, 2024

    NCCI's Annual Insights Symposi

    Join us May 13–15, 2024, for NCCI's Annual Insights Symposium (AIS) 2024, the industry’s premier e …

  • Jul 29 – Aug 2, 2024

    76th Annual SAWCA Convention

    SAVE THE DATE! 76th Annual SAWCA Convention July 29 – August 2, 2024 Hotel Effie Sandestin 1 Grand …

  • Aug 14-17, 2024

    CSIMS 2024 Annual Dual Track C

    California Society of Industrial Medicine and Surgery (CSIMS) is combining its two conferences, PI …

Workers' Compensation Events

Social Media Links


WorkCompCentral
c/o Business Insurance Holdings, Inc.
PO Box 1010
Greenwich, CT 06836
(805) 484-0333