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Regulations



 
9792.23.2....Shoulder Disorders Guideline
The Administrative Director adopts and incorporates by reference the Shoulder Disorders Guideline (ACOEM August 1, 2016) into the MTUS from the ACOEM Practice Guidelines. ...more
 
 
9792.23.8....Stress Related Conditions
The Administrative Director adopts and incorporates by reference the Chronic Pain Guideline (ACOEM May 2017) into the MTUS from the ACOEM Practice Guidelines for ...more
 
 
9792.24....Special Topics
(a) Special topics refer to clinical topic areas where the Administrative Director has determined that the clinical topic sections of the MTUS require further ...more
 
 
9792.5.2....Standardized Medical Treatment Billing Forms/Formats, Billing Rules, Requirements for Completing and Submitting Form CMS 1500, Form CMS 1450 (or UB-04), American Dental Association Form, Version 2006, NCPDP Workers' Compensation / Property & Casualty Universal Claim Form, Payment Requirements
§ 9792. 5. 2. Standardized Medical Treatment Billing Forms/Formats, Billing Rules, Requirements for Completing and Submitting Form CMS 1500, Form CMS 1450 (or UB-04), ...more
 
 
9792.5.4....Second Review and Independent Bill Review - Definitions
  (e) “Consolidation” means combining two or more requests for independent bill review together for the purpose of having the payment reductions contested in ...more
 
 
9792.5.5....Second Review of Medical Treatment Bill or Medical-Legal Bill
  (c) The request for second review shall be made as follows:   (1) For a non-electronic medical treatment bill, the second review shall be requested on either: ...more
 
 
9805....Schedule for Rating Permanent Disabilities, Adoption, Amendment
The schedule adopts and incorporates the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment 5th Edition. The schedule may be downloaded ...more
 
 
9814....Salary Continuation
In relation to periods of temporary disability, where an employer provides salary or other payments in lieu of or in excess of temporary disability indemnity, the claims ...more
 
 
9822....Severability
  Note: Authority cited: Sections 59, 133, 139. 43(b) and 5307. 3, Labor Code. Reference: Sections 7, 139. 43(a), (b), (d), 139. 45 and 5430-5434, Labor Code.   ...more
 
 
9918....Service on Administrative Director
The Notice of Employee Death, DIA Form 510, shall be mailed to the Administrative Director, Division of Industrial Accidents, P. O. Box 42400, San Francisco, California ...more
 
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