11/01/2018
be normaL An MRI on 05112110
revealed multi-level disc protrusions and facet arthrosis with some areas of stenosis. A
discogram reportedly showed pathology at L3-4. Based on the ODG there has been no x-ray
criteria flexion-extension revealing segmental instability and there has been no evidence
Category: Panel
11/01/2018
report and he reaffirmed his
opinion that he would only certify 18 visits of chiropractic care. He explained that this was based
on ODG guidelines Respondent's Exhibit 3; pp 14-16.
I
On cross-examination Dr. Malartsik conceded that he was not opining that Dr. Dickhut's
treatment was unnecessary or
Category: Panel
10/24/2018
the formulary and guidelines for several U.S. states that have adopted formularies including the surrounding states of Ohio Tennessee and Indiana.
We are honored to add Kentucky to the roster of ODG-mandated states" Phil LeFevre managing director of MCG's ODG said in a statement. "The
Category: News
10/01/2018
considered medically
necessary Id. and did not require more than 10 physical therapy visits under ODG guidelines. Id. p. 41
Taking all of the evidence irito account including tbe injuries sustained as a result of the work accident
scalp contusionhematoma cervical thoracic and lumbar strains
Category: Panel
09/01/2018
particular protein from other products in the blood of the patient from their own blood.
At times the injection is done with ultrasound guidance.
7. However Dr. Voglino testified A2M injections do not satisfy the workers
compensation ODG guidelines and are still partially experimental. Lastly Dr
Category: Panel
09/01/2018
we
14
15853
Page 1
STATE OF ILLINOIS
18 Affirm and adopt no changes
ss.
COUNTY OF WILLIAMSON
D Affirm with changes
0Reverse
0Modify
D
Category: Panel
09/01/2018
15 we 30588
Page I
STATE OF ILLINOIS
ss.
COUNTY OF
JEFFERSON
0
0
0
Affirm and adopt no changes
0
0
Affmn with changes
Reverse
ModifY
Category: Panel
09/01/2018
the
3
correct MTUS was quoted UR did not correctly apply the 2016 MTUS definition of homebound.
4
Instead the UR relied on language in the 2009 Guideline and the Occupational Disability Guidelines
5
ODG. Thus UR applied the invalid 2009 MTUS. Stevenssupra 241 Cal.App.4th 1074.
6
Here
Category: Panel
08/27/2018
-preferred. Those drugs will be covered only if they receive prior authorization from payers.
Other drugs designated as Y drugs or those that do not appear on the formulary list do not need prior authorization. The formulary list comes from the Official Disability Guidelines or ODG published by MCG
Category: News
08/24/2018
director of ODG from MCG Health said opioid prescribing can be complex with such factors as patient health history drug formulation and contraindications playing a role in addition to the diagnosis. ODG is the Official Disability Guidelines used as workers comp treatment guidelines in several states
Category: News