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Lawsuit: DWC Refusing to Follow Regulations by Delaying Appointments
02/25/2020
over.
When asked for comment Monday DIR spokesman Peter Melton said Thank you for contacting us but DIR and DWC do not comment on pending litigation.
Independent medical review can refer to two different things in California.
Most commonly IMR refers to the administrative process for
Category: News
DWC Reports 6% Increase in Eligible IMR Applications for 2018
11/20/2019
to the review organization Maximus Federal Services. And final decisions on standard IMR cases were issued within nine days of Maximus having complete medical records according to the division.
The divisions report is here.
Category: News
Committee Passes Bill That Would Allow Penalties for Overturned UR Decisions
04/25/2019
Californias comp system has one of the worst records for providing timely medical treatment to injured workers.
But she said theres been little in the way of actual discussions about reforming the UR or IMR processes.
Reasonable discussions are pushed aside by the false idea that the current system
Category: News
DWC, Reed Group Offer Free Online Access to MTUS
02/06/2019
bible of medical treatment in the work comp system and lack of access could explain why some treatments were denied by UR and later independent medical review.
In some cases the UR or IMR reviewer might not have had relevant records or sufficient information to make a decision. But in others
Category: News
High Volume of IMR Cases Expected to Continue
09/10/2018
number of IMR decisions says about how treatment is provided system users appear to agree that the situation is not going to change anytime soon.
Maximus Federal Services received 175118 eligible applications for independent medical review in 2017 compared to 172452 in 2016 according to a report
Category: News
CWCI Reports IMR Trends Holding Steady
06/19/2018
letters addressing 78861 service requests.
The institutes review of the first quarter IMR decisions found that after examining the medical records and information provided in support of a disputed request IMR doctors upheld the UR determination 90.6 of the time while in 9.4 of the cases they
Category: News
1st DCA Rescinds Grant of Review of WCAB Decision Invalidating Part of MTUS
12/21/2017
medical treatment reasonably required to cure or relieve a worker of the effects of an industrial injury.
Accordingly the board said an IMR reviewer wrongly denied in-home care services for former magazine editor Frances Stevens by relying on that part of the MTUS and the administrative director of
Category: News
Lawmaker Proposes Special UR Rules for Victims of Terrorism
07/05/2017
advocate would also be required to ensure IMR is initiated in a timely manner and provide the IMR reviewer a narrative explaining why the treatment should be authorized including citing relevant medical records.
The bill would apply retroactively to survivors of the attack in San Bernardino and any
Category: News
Amended Bill Would Create Fraud Unit Within DWC
04/11/2017
information from its qualified medical evaluator licensing files medical boards and corporate records against data about service providers and lien filers from EAMS in an effort to identify referral patterns and relationships.
DIR will be drafting financial interest disclosure rules to improve the
Category: News
Providers Lament Physical, Financial Costs of Treatment Denials
02/27/2017
treatment requests approved. One thing doctors can do is to read through independent medical review decisions that have been posted on the DWCs website to find IMR decisions that have approved similar treatment requests for similarly situated workers.
How can you say no when its already gone through
Category: News
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