In case you missed it, a recent segment on “60 Minutes” examined problems with utilization review of mental health treatment, albeit in a non-workers’ comp setting. The program’s focus was on treatment denials by doctors doing utilization reviews for Anthem Health. A number of young adults who were at risk for suicide or violent behavior

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Could the California courts finally be ready to rule on the constitutionality of Independent Medical Review? We may be on the verge of seeing that issue decided. On December 3, 2014, the California Court of Appeal First Appellate District Division One granted the petition for writ of review filed San Francisco attorney Joseph Waxman on

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It appears that the DWC is prepared to get tougher on enforcement of IMR regulations. In a November 25, 2014 newsline the DWC announced that as of December it will begin to mete out penalties where claims administrators fail to send records to Maximus as required by Reg 9792.10.5. Here is what the DWC announced:

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Aa a lawyer representing injured workers, I’ve often wondered how those workers perceive the end of the year holidays. Thanksgiving gives way to Black Friday, and then to Cyber Monday, and pretty soon the Christmas and New Year season is upon us. Many Americans experience the end of the year holidays as incredibly stressful. Whether

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Can an insurer submit medication prescription requests to utilization review (UR) even where those medications have been repeatedly authorized before? That question has been hotly debated in California workers’ comp circles  after a recent WCAB Significant Panel Decision, Patterson v. The Oaks Farm (2014) 79 CCC 910.  The issue comes up again and again in

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