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Regulations



 
9792.10.9....Independent Medical Review - Publishing of Determinations
The Administrative Director may publish the results of independent medical review determinations after removing all individually identifiable information as defined in ...more
 
 
9792.11....Investigation Procedures: Labor Code §4610 Utilization Review Violations
(c) The Administrative Director, or his or her designee, may conduct a utilization review investigation at any location where Labor Code Section 4610 utilization review ...more
 
 
9792.5.10....Independent Bill Review - Document Filing
(a) The independent bill reviewer assigned the request shall review all information provided by the parties to determine if any additional information is necessary to ...more
 
 
9792.5.12....Independent Bill Review - Consolidation or Separation of Requests
  (3) After consultation with the Administrative Director, the IBRO may allow the consolidation of requests or independent bill review by a single provider showing a ...more
 
 
9792.5.13....Independent Bill Review - Review
(a) If the request for independent bill review involves the application of the Official Medical Fee Schedule (OMFS) for the payment of medical treatment services or goods ...more
 
 
9792.5.14....Independent Bill Review - Determination
(a) Within sixty (60) days of the assignment of a dispute to an independent bill reviewer under section 9792. 5. 9(g), the reviewer shall issue a written determination, ...more
 
 
9792.5.15....Independent Bill Review - Implementation of Determination and Appeal
  (c) If the final determination of the Administrative Director is reversed by the Workers' Compensation Appeals Board, the dispute shall be remanded to the ...more
 
 
9792.5.9....Initial Review and Assignment of Request for Independent Bill Review to IBRO
(a) Upon receipt of the Request for Independent Bill Review under section 9792. 5. 7, the Administrative Director, or his or her designee, shall conduct a preliminary ...more
 
 
9795.1.5....Interpreters for Hearings, Depositions or Arbitrations
The finding of the judge or arbitrator and the basis for the finding shall be set forth in the record of proceedings.   Note: Authority cited: Sections 133, 5307. 3, ...more
 
 
9795.1.6....Interpreters for Medical Treatment Appointments or Medical Legal Exams
(a) To qualify to be paid for interpreter services at a medical treatment appointment or medical legal exam, the interpreter shall be certified, certified for medical ...more
 
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