Today’s issue of WorkCompRecap features two more interesting developments coming out of California, with Department of Industrial Relations Director Christine Baker issuing a statement in support of SB 1160 (Mendoza) which makes substantial reforms to the utilization review process used to contest care for injured workers.
Baker noted that all stakeholders agreed that the sooner an injured worker is treated in the critical first month of injury and the sooner the worker returns to work is the best outcome. In reducing and eliminating most UR in the first 30 days following an injury, the legislation would help clear the way for workers to receive expedited and appropriate treatment. Baker also noted that the legislation would stay liens filed by physicians or providers who are criminally charged with fraud (recently tallied by the DWC at $600 million), and clarify the prohibition on the assignment of liens as accounts receivables, creating potential system savings of $818 million.
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