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extensive psych eval and UR
08-26-2008, 06:44 PM
Post: #1
extensive psych eval and UR
what is an extensive psych evaluation and why does it have to be approved through the UR dept of the IC ?
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08-26-2008, 07:58 PM
Post: #2
RE: extensive psych eval and UR
you should put your location in the user profile so others know what state laws and rules control your claim.

Labor Code 4610:
"(b)Every employer shall establish a utilization review process in
compliance with this section, either directly or through its insurer
or an entity with which an employer or insurer contracts for these
services.
© Each utilization review process shall be governed by written
policies and procedures. These policies and procedures shall ensure
that decisions based on the medical necessity to cure and relieve of
proposed medical treatment services are consistent with the schedule
for medical treatment utilization adopted pursuant to Section
5307.27."

extenstive Psych eval probably refers to the fee schedule and billing terminology

you can find out more about california's utilization review rules from the state website
http://www.dir.ca.gov/dwc/UR_Main.htm
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