Expectations for DWC's UR Audit Ramp Up Mixed

The most vocal critics of utilization review reacted to the Division of Workers' Compensation's announcement that it will ramp up audits this year with a range of opinions, from "it's about time" to "so what." The division last week said its Audit and Enforcement Unit will be noticing more target audits in 2016 to address utilization review complaints.  Claims administrators and utilization review organizations are subject to random audits at least once every five years. But the division can also initiate what it calls a special target investigation ...