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CejaJunezDavid

12/20/2020
first 6 visits were reasonable. Dr. Huinberstone testified the Official Disability Guidelines ODG recommended a maximum of 10 physic therapy visits for an acute strainsprain. RX2. ------ Dr. IIumbersQne. tifie

Category: Panel

Medical Evidence Search Sequence

12/18/2020
"co_anchor_I11191038AB9E48C696F43A41E3AC92DC" A Search the most current version of ACOEM or ODG to find a recommendation applicable to the injured worker's medical condition or injury. Choose the recommendation that is supported with the best available evidence according to the MTUS

Category: Regulations

Medical Treatment Utilization Schedule - Definitions

12/18/2020
endorsed and disseminated by a national organization with affiliates based in two or more U.S. states and is the most current version.   i “ ODG” means the Official Disability

Category: Regulations

Oklahoma State Chiropractic Independent Physicians Association v. Fallin

12/18/2020
treatment shall be provided in accordance with the current edition of the "Official Disability Guidelines" sic as published by the Work Loss Data Institute. For medical treatment not addressed by the Official Disability Guidelines or addressed by not recommended in the ODG section in regard to injuries

Category: Cases

Castleberry v. New Hampshire Insurance Company

12/18/2020
mental health evaluation the patient received during the multidisciplinary pain management program evaluation. The use of these would be supported by the ODG Guidelines for short term use. It would be anticipated that the patient would be able to be weaned from all medication as his pain management

Category: Cases

In re: Liberty Insurance Corp. and Michelle Yaklin

12/18/2020
physician Dr. Robert Fain M.D. The preauthorization request was denied for the following reasons The request for left knee arthroscopy was not approved by peer review as medically necessity could not be established per ODG Official Disability Guidelines. Please note that the peer review

Category: Cases

Requirements for Use of the Closed Formulary for Claims Subject to Certified Networks

12/17/2020
Division's closed formulary. Preauthorization is only required for 1 drugs identified with a status of "N" in the current edition of the ODG Treatment in Workers' Comp ODG Appendix A ODG Workers' Compensation Drug Formulary and any updates; 2 any compound that contains a drug identified

Category: Regulations

Requirements for Use of the Closed Formulary for Claims Subject to Certified Networks

12/17/2020
Division's closed formulary. Preauthorization is only required for 1 drugs identified with a status of "N" in the current edition of the ODG Treatment in Workers' Comp ODG Appendix A ODG Workers' Compensation Drug Formulary and any updates; 2 any compound that contains a drug identified

Category: Regulations

Requirements for Use of the Closed Formulary for Claims Not Subject to Certified Networks

12/17/2020
to the Division's closed formulary. 1 Preauthorization is only required for A drugs identified with a status of N in the current edition of the ODG Treatment in Workers' Comp ODG Appendix A ODG Workers' Compensation Drug Formulary and any updates; B any compound that contains a

Category: Regulations

Requirements for Use of the Closed Formulary for Claims Not Subject to Certified Networks

12/17/2020
to the Division's closed formulary. 1 Preauthorization is only required for A drugs identified with a status of N in the current edition of the ODG Treatment in Workers' Comp ODG Appendix A ODG Workers' Compensation Drug Formulary and any updates; B any compound that contains a

Category: Regulations

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