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DWC Rescinded Maximus IMR Decisions for Lack of Records

By Greg Jones (Senior Editor)

Friday, November 22, 2013 | 6

By Greg Jones, Western Bureau ChiefOn two occasions, the California Division of Workers’ Compensation rescinded independent medical-review decisions that it says should not have been eligible for review because no medical records were provided, prompting some to question whether the division had exceeded its statutory authority.Senate Bill 863 added Labor Code Section 4610.6 establishing the process for independent medical review, a newly-created procedure for disputing utilization-review decisions to delay or deny treatment. All determinations by independent medical-review organization ...

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