IMR Podcast

 

WHAT IS IT?

CAAA has been a leader in workers’ compensation education for over forty years.  In the coming year, the association is aiming to distribute some its fine educational offerings in alternative digital formats, including podcasts and webinars.   This is the second podcast released, and we are offering it free to the workers’ compensation community.

 

As of July 1, 2013, every dispute over a utilization review (UR) decision regarding medical treatment for a work injury must now be resolved by Independent Medical Review – IMR.

 

But, as with any new program, many of us have more questions than answers. What do we do when we get a UR decision? How long do we have to act? What if the UR decision is late? Can we submit more evidence with an IMR appeal? What happens if the IMR review finds the treatment was necessary? Or, does it agree with the UR determination?

 

To answer these and many other questions, CAAA has now issued three of four planned Practice Tips on the new UR/IMR process.  For more IMR Materials from CAAA click the button Read More

 

CREDIT

This program has been approved for Minimum Legal Education self-study credit by the State Bar of California and Legal Specialization in Workers' Compensation in the amount of 0.5 (one-half) hours. Unfortunately, if you attended the Summer Convention IMR Session, you are unable to receive self-study credit for this program.

 

Register today for our live seminar event: IMR Intensive on September 21st.
 

INDEPENDENT MEDICAL REVIEW

SUMMARY HANDOUTS

This podcast was made from a panel on IMR Review recorded at CAAA's 2013 Summer Convention. The program was 1.5 hours long and we have reduced it to 35 minutes and put it in an audio file that you can listen to in the car or at work. The presenters discuss: what to do when you get a UR non-certication letter; the Code of Regulations sections that pertain to IMR and what to do when you get the IMR application from the claims adjuster; what the Administrative Director does when an IMR application is received; the requirements of Labor Code Section 4610.5, and specifically what the claims adjuster must send to Maximus once the AD sends the matter to them and when the claims adjuster must send it; the different rules between expedited review and regular review; the cost of the IMR system to insurance carriers; and the Medical Utilization Review Schedule (MTUS) that is the basis for UR and IMR review.

Summer 2013 Convention Presentation Materials and IMR Chart

Practice Tip SB 863 #08 - UR

 

Practice Tip SB 863 #09 - UR

 

Practice Tip SB 863 #10 - IMR

Presented by

 

Sherry Grant, Esq

Presenter's Portrait

Erika Vargas, Esq.

Presenter Portrait

Amy Leung, Esq.

Presenter's Portrait

Joanna Sacavich, Esq.

Introduction & Comments by

 

Bernard Baltaxe

Bernard Baltaxe, Esq.

HOW 

Click on the player below to listen to the streaming audio. As always, we appreciate your feedback Click here to send us a comment.

 

 

Want to listen to this podcast on your mobile device(s) or your computer? Right-click on this link and choose 'Save Link As' to download the podcast.

 

Click here for Troubleshooting Help.

IMR Intensive - Getting Treatment Authorized Seminar. If you missed the September 21, 2013 Seminar, you can still view the recordings choose from the two available locations below.  

For more educational events, click here to see our calendar.

CREDIT
Credit Form Logo

 

This program has been approved for Minimum Legal Education self-study credit by the State Bar of California and Legal Specialization in Workers' Compensation in the amount of 0.5 hours.

 

Once you have listened to the entire audio.  Click here or on the image to download your self-study certificate.

 

 

 

 

 

 

Troubleshooting.                                             Return to Podcast

 

If the player or the audio controls do not appear while streaming the audio, here are a few suggestions/facts:

1) Use a different browser and or Player plugin.

a. What works? Mozilla Firefox browser; Realtime Player Plug-in; VLC Player plugin. 

b. What doesn't seem to work? Chrome browser, Quick Time Player in windows 64 bit.

c. With Internet Explorer you may have to allow 'display unsecured content'. 

2) Use a different device to listen to the MP3 file

3) Download the podcast and play it on your media player.