UR Reforms, Drug Formulary Boost Treatment Approvals

Recent reforms that established a prescription drug formulary for California’s workers’ comp system, and which created a utilization review exemption for many treatments rendered during the first 30 days of … Read More »

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Spotlight on Providers’ Adherence To Treatment Guidelines

A new law will soon shine a spotlight on the workers’ comp doctors who are frequently recommending treatments that do not adhere to California’s evidence-based medical treatment utilization schedule (MTUS). … Read More »

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WCAB Says Working Days Are Non-Holiday Weekdays

The Workers’ Compensation Appeals Board says in a new significant panel decision that Saturdays do not count in the calculation of working days for completing a utilization review (UR) decision. … Read More »

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Major Amendments Before Summer Recess

As the California Legislature approached its Summer Recess, the workers’ compensation community was not unlike the old traditional James Bond martini – shaken, not stirred. The year began with no … Read More »

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Privacy, Apportionment, Dynamex Bills Clear Houses of Origin

Bills had until the end of May to clear their house of origin to remain alive and nearly a dozen measures impacting workers’ comp in particular and the insurance industry … Read More »

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Court Says WCAB Usurped UR/IMR Process

The Workers’ Compensation Appeals Board overstepped its authority when it ordered parties to submit a dispute over additional housekeeping services back to the nurse that made the initial determination, says … Read More »

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UR Bill Clears Assembly, Apportionment Bill Still Alive

Two bills backed by the California Applicants’ Attorneys Association (CAAA) are advancing in the Legislature. One addressing utilization review is moving “as a vehicle for on-going discussions” about potential reforms, … Read More »

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DWC Working On Providing Free Access To ACOEM Guides

Officials at the Division of Workers’ Compensation say they are now offering providers in California’s workers’ comp system free access to the evidence-based treatment guidelines that are the underpinnings of … Read More »

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