More: Penny Wise, Pound Foolish

Could there be any bigger waste of money in the work comp system than the utilization review of a medication in gel form that costs an average of $55? That is exactly what happened when a 54-year-old injured worker diagnosed with a spinal cord injury, neurogenic bowel and bladder and left arm pain saw his treating physician, who recommended 1 Voltaren Gel. Ace/ESIS received the request for authorization on March 9 and submitted the RFA along with 125 pages of medical records to a physician licensed in both Georgia and Tennessee. Dr. Woodley Mardy-Davis non-certified the cream, stating the...