May 26, 2018

WorkCompRecap: Review Report!

Today’s issue of WorkCompRecap features the CA DWC’s recent release of the latest edition of the department’s progress report on its Independent Medical Review (IMR) program, the medical dispute resolution process created as part of Senate Bill 863′s 2012 reforms.

Highlights from this edition include average number of days from when an IMR case is assigned to decision was cut nearly in half between the beginning and end of 2016, from 24 to 14 days. Case decisions were also found to be extremely similar when comparing several demographic categories, including the injured workers’ date of injury, their representation status, and the geographic region of their residence. IMR only overturned 8.4% of of the utilization review decisions that denied treatment requests, and as in previous years, requests for pharmaceuticals made up a little under half (43.5%) of disputes, and opioids the most common drug class at 30% of drug requests.

Find out more (including a link to the free report!) by clicking here!

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