Today is
Friday, May 17, 2024 -
SEARCH RESULTS
110 Results
DWC: Maximus Says most Cases Missing Records Are Closed
03/17/2015
week indicated 6743 IMR cases were missing medical records past the 15-day timeframe for the claims administrator to submit them. As of March 9 Maximus has not received medical records for at least 90 days on 5021 of those cases.
Peter Melton a spokesman for the Division of Workers' Compensation
Category: News
Maximus Could Be the Cause of Missing IMR Records
03/16/2015
The 5000 independent medical-review cases Maximus Federal Services says are missing medical records could have nothing to do with California claims administrators shirking their responsibilities.
WorkCompCentral reported Friday that an emailed report from Maximus shows 6743 IMR cases have
Category: News
Labor Secretary Challenges ProPublica Report
03/13/2015
Travelers Insurance used the independent medical-review process created by Senate Bill 863 to cut off home care for Ramirez who was declared permanently and totally disabled in August 2012.
"According to medical and court records in early 2014 Ramirez's physician submitted an unrelated request for
Category: News
IMR Cases Missing Records Decrease, still Number in Thousands
03/13/2015
submitted and that claims administrators continue to timely submit medical records for IMRs upon receipt of the Notice of Assignment and Request for Records NOARFI" he said in an email.
Regulations implementing the IMR process created by Senate Bill 863 require the claim administrator to submit
Category: News
Supreme Court Asked to Review Dubon II as UR/ IMR Disputes Pile Up
02/20/2015
" will not go through IMR.
Dubon I was consistent with both the Labor Code and the CCR Abarr says but Dubon II was not.
Rather Abarr contends Dubon II "attempted to delegate authority to IMR that the Legislature expressly precluded." IMR is supposed to be for determinations of medical necessity
Category: News
Maximus Projects 144,000 IMR Applications and Decisions per Year
02/11/2015
medical records for IMR. The employer is required to send to Maximus all reports from the treating physician prepared one year prior to the date of the request for authorization all reports and records identified in the treatment request or utilization-review decision as well as materials submitted by
Category: News
DIR Contractor Maximus Claims Portions of Contract Exempt from Disclosure
01/16/2015
Maximus Federal Services believes certain portions of its contract with the Department of Industrial Relations to provide independent medical review services for California's workers' compensation system contain proprietary information that should not be disclosed to the public.
The DIR has for
Category: News
DIR Requests Extension to Respond to PRA for Maximus Contract
01/15/2015
contracts with Maximus to provide independent bill- and medical-review services for the state's workers' compensation community for the period beginning Jan. 1 2015 and ending Dec. 31 2018.
The California Public Records Act contained in Government Code Section 6253 establishes that a state agency has
Category: News
First Responders Charge TPAs with RICO Violations for Denying Claims
01/06/2015
independent medical examiner to write a report saying an injury was not compensable.
Plaintiff Tim Hunter said he was injured Sept. 17 2010 after a burning building collapsed on top of him. Hunter was sent to an IMR who stated he could not conclude whether Hunter's spine was damaged when the building
Category: News
1st DCA Wrapping Up Briefing Process for Constitutional Challenge to IMR
12/15/2014
safeguards SCIF insists since it requires the decision-maker to be fully informed of all medical records reports and other documents submitted by the parties.
SCIF emphasizes that the IMR doctor also is not making a recommendation but an "arbitration decision."
Injured workers "therefore are no
Category: News
Advertisements
Now Trending
- Workers' Compensation News
-
Calif. 3rd DCA
Publishes Decision on
Compensability of Car Accident;
Defendant…
Posted on May 14, 2024
-
Calif. CDI: Truck
Driver's Death Exposes Premium
Fraud…
Posted on May 16, 2024
-
Calif. DWC
Announces Crackdown on E-Filing…
Posted on May 16, 2024
-
Ill. Court
Overturns Denial of Benefits to Son
of Fatal Heart Attack…
Posted on May 15, 2024
-
Okla. Vehicle
Qualifies as Uninsured if
Exclusivity Prevents Worker From…
Posted on May 16, 2024
-
N.Y. Court:
Medical Resident's Wounds From Mass
Shooting at Hospital…
Posted on May 17, 2024
-
Pa. Court Rejects
Constitutional Challenges to New
IRE…
Posted on May 13, 2024
-
Mo. Employer That
Failed to Provide Treatment for
Worker Can Still Direct Future…
Posted on May 15, 2024
-
Texas Split Court
Overturns Finding That Injured Cop
Can Claim UM/UIM…
Posted on May 16, 2024
-
Iowa Supreme Court
Overturns Finding of No Liability
for Second Injury…
Posted on May 14, 2024
Jobs
Upcoming Events
May 22-23, 2024
San Diego Elevate Workers' Com
About #ELEVATEWORKCOMP This annual event is all about championing the cause to improve Workers’ C …
Jun 12-14, 2024
20th Annual Conference: Legisl
Registration Our signature event of the year annually draws a high-level audience of participants …
Jun 20-23, 2024
California Applicants' Attorne
Attendee Registration Opens Tuesday, April 9th @ 9:30 AM Sponsorships & Exhibitor Applications …
Social Media Links
WorkCompCentral
c/o Business Insurance Holdings, Inc.
c/o Business Insurance Holdings, Inc.
PO Box 1010
Greenwich, CT 06836
(805) 484-0333
Greenwich, CT 06836
