independent medical review News

Doctor’s Alleged Fraud Scheme Throws Medical Claims Review Process into Doubt

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 …

Report on California’s Independent Medical Review Shows Continued Progress

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 …

California Workers’ Comp Medical Review Volume Fell Slightly in 2017

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 …

Study Shows California Workers’ Comp Medical Review Volume May Be Leveling off

The volume of workers’ compensation independent medical reviews in California appears to be tapering off, a new study shows. The IMR process was established by California lawmakers to resolve medical disputes. A study from the California Workers’ Compensation Institute shows …

California Workers’ Comp Medical Review Runs Through 13K Disputes Each Month

A new progress report from the California Department of Industrial Relations on the department’s independent medical review program shows that 13,000 decisions run through the medical dispute resolution process each month. The report, 2017 Independent Medical Review Report: Analysis of …

California Workers Comp Medical Review Volume Hit a Record in 2016

The California workers’ compensation independent medical review process used to resolve medical disputes found that in 2016 IMR physicians once again upheld about 90 percent of utilization review physician’s modifications or denials of treatment, yet IMR volume climbed 6.5 percent …

Report: California Workers’ Comp Reforms Saving $1.3B Annually

A look back at the performance of a law reforming California’s worker’s compensation system that took effect in 2013 shows more than $1 billion in savings has been created. The Workers’ Compensation Insurance Rating Bureau released a report on Senate …

DIR: California Independent Medical Review Shows Improvements

A California Department of Industrial Relations progress report shows continuing improvement of the state’s Independent Medical Review process. IMR is the medical dispute resolution process that uses medical expertise to obtain consistent, evidence-based decisions and component of the state’s workers’ …

Small Number Causing California Workers’ Comp Review Excess

A small number of physicians are responsible for a large portion of the independent medical review of workers’ compensation cases in California, a process that could be costing payers in excess of $100 million, a report shows. The IMR process …

California Workers’ Comp IMR Working: Study, Government

A key part to California’s sweeping workers’ compensation reform is working, according to a new study and the people running the system. More than 95 percent of workers’ comp medical treatment requests are approved following the utilization review and independent …