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AvilaDavid
10/01/2021
2020 version of the Official Disability Guidelines ODG to determine the reasonableness and
necessity of services performed in 2018-2019 we find Dr. Zaragoza should have addressed this matter
during a peer-to-peer discussion. There is no evidence that the 2020 version differed from the
guidelines
Category: Panel
Robinson: Time to Geaux Back to the Workers' Comp Drawing Board?
06/29/2021
avoid those issues. My own company ODG by MCG publishes evidence-based guidelines and a drug formulary that have been officially adopted in 11 states and which are relied upon across the United States and beyond. Three states use variations of guidelines from the American College of Occupational
Category: Industry Insights
GlynnAnthony
06/01/2021
ILLINOIS WORKERS COMPENSATION COMMISSION
DECISION SIGNATURE PAGE
17WC013292
UTILITY TRANSPORT SERVICE INC
ConsolidatedCases
Commission De
Category: Panel
ChavezBraulio 2
06/01/2021
ILLINOIS WORKERS COMPENSATION COMMISSION
DECISION SIGNATURE PAGE
Case Number 19WC008620
Case Name CHAVEZ
Category: Panel
SmileyMatthew
06/01/2021
Terry is a board-certified neurosurgeon and licensed to practice medicine in
Illinois. RX; 3 On March 7 2019 Dr. Terry authored a Utilization Review report. RX 8.
After reviewing Petitioners medical records Dr. Terry rendered opinions pursuant to the ODG
guidelines. Dr. Terry testified that
Category: Panel
ChavezBraulio
06/01/2021
ILLINOIS WORKERS COMPENSATION COMMISSION
DECISION SIGNATURE PAGE
Case Number 18WC027887
Case Name CHA
Category: Panel
BettesLamont
06/01/2021
. who is identified as an orthopedic surgeon concluded that
the additional cervical spine therapy recommended by Dr. Sweeney was not medically indicated
per ODG guidelines. The report reflects that a message was left with Dr. Sweeney's assistant
with that individual indicating the doctor was out of
Category: Panel
ColeBuenta
06/01/2021
that
surgery was appropriate per ODG guidelines as the patient demonstrated weakness or symptoms of
extremity pain in an anatomic distribution consistent with her radiographic findings imaging studies
revealing nerve root compression and lateral recess stenosis and the failure of conservative care
Category: Panel
Kenneth Hannigan Launches Medical Bill Review, Payment Firm
05/27/2021
Accuro Solutions automated platform applies jurisdictional fee schedules industry clinical edits ODG guidelines payer rules payment integrity edits and preferred provider organization and usual and customary pricing. Payers can customize auto adjudication rules and the system can generate
Category: News
Paper: Comorbidities Could Thwart Return Plans for Patients Who Contract Illnesses Like COVID
05/25/2021
potential conclusions the pandemic has highlighted the need for early intervention in claims that could include substantial lost time and high treatment costs according to The Impact of COVID-19 Comorbidities on Return to Work published by ODG by MCG.
Inadequate comorbidity management can lead to
Category: News
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