Passing Scores Save UROs From Paying Most Penalties for 2018 Audit Violations

Five utilization review organizations audited this year all scored passing grades, resulting in the Division of Workers’ Compensation waiving most of the penalties they faced for violations uncovered during the inspections. Although the violations found in the 2018 audits weren’t as egregious as past findings — such as people without a medical license making a decision to deny treatment — some system users questioned whether the division should be waiving fines in the first place. The most common violation was failure to make and communicate a decision ...