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extensive psych eval and UR
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08-26-2008, 06:44 PM
Post: #1
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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
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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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