April 9, 2025
The rate of California workers’ compensation medical treatment request denials being overturned was up slightly last year, but they are still a relatively rare occurrence, a new report shows. Denials were overturned at a rate of 12.7%, an increase from …
June 26, 2024
Nearly all independent medical review filings were deemed eligible for review last year, slightly less than the annual percentage for those filed in 2022, according to California Division of Workers’ Compensation’s annual report on the IMR program. IMR is the …
August 1, 2023
A review of the Independent Medical Review process used to resolve California workers’ compensation medical disputes shows the number of IMR decision letters rose 4.1% in the first six months of 2023 compared to the first half of 2022 after …
February 8, 2023
Few medical treatment denials in California workers’ compensation were overturned last year, a review released on Wednesday shows. The California Division of Workers’ Compensation posted an annual report on the department’s Independent Medical Review program, which describes IMR program activity …
September 16, 2022
After hitting a record low in 2021, the number of independent medical reviews used to resolve California workers’ comp medical disputes continued to decline in the first half of 2022 according to the California Workers’ Compensation Institute. California law requires …
March 28, 2022
A report from the California Workers’ Compensation Institute on the state’s independent medical review process used to resolve workers’ comp medical disputes shows the number of IMR decision letters hit an all-time low in 2021. The drop comes as pharmaceutical …
May 18, 2020
The number of Independent Medical Review determination letters, a process used to resolve California workers’ compensation medical disputes, fell sharply in prescription drug disputes by 11.3% from 2018 to 2019, with data from the first quarter of 2020 showing the …
October 2, 2018
For years, Spyros Panos seemed like a successful orthopedic surgeon, seeing dozens of patients a day and bringing in millions of dollars in fees for his suburban New York medical group. In fact, he was inflating charges and billing for …
September 10, 2018
An annual progress report from the California Department of Workers’ Compensation’s Independent Medical Review program shows it’s working as intended. IMR is a medical dispute resolution process that uses medical expertise to obtain consistent, evidence-based decisions and is a component …
March 14, 2018
New data on the Independent Medical Review process used to resolve California workers’ compensation medical disputes show that IMR volume dipped for the first time ever in 2017, but the outcomes were unchanged as IMR physicians again upheld 91.2 percent …