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The Case for Evidence-Based Medicine in Managing Workplace Injuries

03/27/2024
. Troy Prevot Director of Strategic Solutions from ODG by MCG will cover how EBM is defined and how evidence is categorized into a hierarchy that’s helpful in critical appraisal. Mr. Prevot will explore the benefits and challenges and how capturing evidence into a clinical

Category: Education

Danette Heine

02/15/2024

Category: Profile

Troy Prevot

02/14/2024

Category: Profile

Perez Eleno

09/01/2023
Disability Guidelines ODG to find a recommendation applicable to the injured workers medical condition or injury. The doctor must choose the recommendation that is supported with the best available evidence per CCR 9792.25.1 discussed below. If no applicable recommendation is found or if the

Category: Panel

SzymanskiPatrick

08/01/2023
. The procedure was non-certified because ODG guidelines do not recommend the use of discography because the harms outweigh the potential diagnostic benefit. They state there is no indication why this diagnostic is being requested. They note there are rare exceptions including single level discography

Category: Panel

QuinonesEstefaniaRomero

08/01/2023
the basis that it was not medically reasonable and necessary per ODG guidelines. The guideline note fusion is not recommended for workers compensation patients for degenerative disc disease disc herniation spinal stenosis without instability due to lack of evidence or risk exceeding benefit RX 10

Category: Panel

MosesVera

07/01/2023
Assist on April 28 2021. Basis of denial ODG states cold compression is recommended for shoulder and not supported as more efficacious than ice packs following shoulder surgery. Id. p.72-77 Non-certification of VascuTherm pneumatic compression unit for 6-13 weeks provided by QMed Assist on April 28

Category: Panel

Copeland: One Girl's Opinion About the DWC's Designated Doctor 'Fix'

05/15/2023
doctors to have access to the ODG and MD Guidelines — additional expense items. Many doctors did not want to take the time to learn or maintain the certification.  Some unintended problems with the way the DWC selected the most qualified doctors — and the additional costs

Category: Industry Insights

NarupAdam

05/01/2023
. Milos and Dr. Komanduri were orthopedic surgeons. Dr. Komanduri's utilization report was dated May 13 2019. The report was on Dane Street letterhead and Dr. Komanduri opined three drugs prescribed by Dr. Bradley were medically unreasonableunnecessary basing this on the ODG guidelines Respondent's

Category: Panel

Moss Earl

05/01/2023
possible consistent with a longitudinal partial tear of the biceps. However ODG guidelines do not recommend platelet-rich plasma for shoulder ligament tendon or muscle injuries. There is no compelling rationale presented or extenuating circumstances noted to support the medical necessity of this request

Category: Panel

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