Can an insurer submit medication prescription requests to utilization review (UR) even where those medications have been repeatedly authorized before?
That question has been hotly debated in California workers’ comp circles after a recent WCAB...
Has the pendulum swung so far that the emphasis now is completely on the process itself and not the purpose of the process?
In Arredondo v. Tri-Modal Distribution Services, Inc. , 2015 Cal. Wrk. Comp. P.D. LEXIS --, the California WCAB, in a split...
AD says IMR gets 30 days to issue a decision after receipt of records, but doesn’t address Arredondo noteworthy panel decision
Roger Rabb, J.D., Special Correspondent for the LexisNexis Workers’ Compensation eNewsletter
In 2012, California...
This case is very similar to the Saunders noteworthy panel decision .
In Southard v. Hallmark Greeting Cards , 2015 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB, in a split panel opinion, rescinded the WCJ’s finding that an employee may appeal an...