03/27/2024
. Troy Prevot Director of Strategic Solutions from ODG by MCG will cover how EBM is defined and how evidence is categorized into a hierarchy that’s helpful in critical appraisal.
Mr. Prevot will explore the benefits and challenges and how capturing evidence into a clinical
Category: Education
02/15/2024
Category: Profile
02/14/2024
Category: Profile
09/01/2023
Disability Guidelines ODG to find a recommendation
applicable to the injured workers medical condition or injury. The doctor must choose the
recommendation that is supported with the best available evidence per CCR 9792.25.1 discussed
below. If no applicable recommendation is found or if the
Category: Panel
08/01/2023
. The procedure was non-certified because ODG guidelines do not recommend the use of
discography because the harms outweigh the potential diagnostic benefit. They state there is no indication why
this diagnostic is being requested. They note there are rare exceptions including single level discography
Category: Panel
08/01/2023
the basis that it was not medically reasonable and necessary per ODG guidelines. The
guideline note fusion is not recommended for workers compensation patients for degenerative disc disease
disc herniation spinal stenosis without instability due to lack of evidence or risk exceeding benefit RX 10
Category: Panel
07/01/2023
Assist on April 28 2021. Basis of denial
ODG states cold compression is recommended for shoulder and not supported as more
efficacious than ice packs following shoulder surgery. Id. p.72-77
Non-certification of VascuTherm pneumatic compression unit for 6-13 weeks provided by
QMed Assist on April 28
Category: Panel
05/15/2023
doctors to have access to the ODG and MD Guidelines — additional expense items. Many doctors did not want to take the time to learn or maintain the certification.
Some unintended problems with the way the DWC selected the most qualified doctors — and the additional costs
Category: Industry Insights
05/01/2023
possible consistent with a longitudinal partial tear of the biceps.
However ODG guidelines do not recommend platelet-rich plasma for shoulder
ligament tendon or muscle injuries. There is no compelling rationale presented
or extenuating circumstances noted to support the medical necessity of this
request
Category: Panel
05/01/2023
.
Milos and Dr. Komanduri were orthopedic surgeons.
Dr. Komanduri's utilization report was dated May 13 2019. The report was on Dane Street
letterhead and Dr. Komanduri opined three drugs prescribed by Dr. Bradley were medically
unreasonableunnecessary basing this on the ODG guidelines Respondent's
Category: Panel