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UR Decisions Upheld without Review of Medical Records

By Greg Jones (Senior Editor)

Monday, July 29, 2013 | 4

By Greg Jones, Western Bureau ChiefIndependent medical review doctors denied recommended treatments for five injured workers in California without reviewing all pertinent medical records − despite statements from the Division of Workers' Compensation's IMR contractor that it needs the records to make decisions.Two of the 23 decisions published since July 11 say that the administrator never responded to requests for medical records. WorkCompCentral on July 12 identified three other decisions in which the IMR doctor said the administrator never submitted medical records.The Divisio...

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