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Utilization Review Working as Intended, CWCI Says

By Greg Jones (Senior Editor)

Friday, January 10, 2014 | 14

By Greg Jones, Western Bureau ChiefThe California Workers' Compensation Institute said a new study finding only 5.9% of requested medical procedures are delayed, denied or modified through utilization review shows that the process is working as it was intended when introduced by lawmakers in the reforms passed in 2003 and 2004.Three out of every four medical treatment requests are approved by claims adjusters without the need for additional oversight, CWCI said in a report published Wednesday titled, “Medical Dispute Resolution: Utilization Review and Independent Medical Review in th...

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