Nearly 3/4 of Early IMR Decisions Favor Employer

By Greg Jones, Western Bureau ChiefNearly three out of four treatment requests that were denied by utilization review were also deemed medically unnecessary by doctors performing independent medical review for Maximus Federal Services, based on an analysis of decisions posted online by the California Division of Workers’ Compensation.Industry observers say there aren’t enough decision to establish a trend, but attorneys expressed concern that some diagnostic tests requests were denied. Doctors questioned the limited justification provided for some IMR decisions.  In the 26 pub...