Regulations
| 9768.10....Independent Medical Review Application (Form) | |
| Independent Medical Review Application 9768. 10 Mandatory Form SPECIALTY CODES Â MAI Allergy and Immunology MAA Anesthesiology MRS Colon & Rectal Surgery MDE ...more | |
| 9768.11....In-Person Examination or Record Review IMR Procedure | |
| The MPN Contact shall furnish transportation and arrange for an interpreter, if necessary, in advance of the in-person examination. Except for the in-person examination ...more | |
| 9768.12....Contents of Independent Medical Review Reports | |
| (a) Reports of Independent Medical Reviewers shall include: Â (1) The date of the in-person examination or record review; Â (2) The patient's complaint(s); Â (3) ...more | |
| 9768.13....Destruction of Records by the Administrative Director | |
| The Administrative Director may destroy any forms or documents submitted to the Administrative Director as part of the IMR process two years after the date of receipt. ...more | |
| 9768.14....Retention of Records by Independent Medical Reviewer | |
| Each Independent Medical Reviewer shall retain all comprehensive medical reports completed by the Independent Medical Reviewer for a period of five years from the date of ...more | |
| 9768.15....Charges for Independent Medical Reviewers | |
| (a) Payment for the services of the Independent Medical Reviewers shall be made by the employer or insurer. Â (c) An IMR shall not accept any additional compensation ...more | |
| 9768.16....Adoption of Decision | |
| (a) The Administrative Director shall immediately adopt the determination of the Independent Medical Reviewer and issue a written decision within 5 business days of ...more | |
| 9768.17....Treatment Outside the Medical Provider Network | |
| (a) If the IMR agrees with the diagnosis, diagnostic service or medical treatment prescribed by the treating physician, the covered employee shall continue to receive ...more | |
| 9768.2....Conflicts of Interest | |
| Â (b) The IMR shall not have a contractual agreement to provide physician services for the injured employee's MPN if the IMR is within a 35 mile radius of the treating ...more | |
| 9768.3....Qualifications of Independent Medical Reviewers | |
| (a) To qualify to be on the Administrative Director's list of Independent Medical Reviewers, a physician shall file a Physician Contract Application pursuant to section ...more | |
