Vol. 7, Issue 9

Find Solutions & Strategies February 29, 2016

The MTUS and Treating Physician Reports

Must treating physicians cite MTUS provisions?

In This Issue

* CITING THE MTUS

* UNTIMELY UR

* NEWS: Electronic submission of IMR applications

* eNEWSLETTER ARCHIVES

A Note From the Editor

the mtus and treating physician reports

Does Labor Code § 4604.5(a) specifically require the treating physician's report to cite the applicable Medical Treatment Utilization Schedule provisions?

In Sandoval v. San Diego Unified School District, 2016 Cal. Wrk. Comp. P.D. LEXIS --, the WCAB, affirming the WCJ, held that the medical reports of the applicant's treating physician, Steven Tradonsky, M.D., and consulting physician, John W. Miles, M.D., constituted substantial evidence to support the WCJ's finding that the applicant was entitled to medical treatment in the form of right rotator cuff surgery. The WCAB held that the physicians' recommendation for surgery was consistent with the Medical Treatment Utilization Schedule (MTUS) guidelines. The WCAB found that, contrary to the defendant's assertion, the physicians requesting authorization for medical treatment are not required to specifically cite to the MTUS guidelines...read more.

california COMPENSATION CASES

WCAB Approves Treatment for Brain Injury Treatment When Utilization Review Found Untimely - Cal. Comp. Cases February Advanced Postings (2/23/2016). Lexis.com and Lexis Advance online subscribers can access the complete headnotes and summaries here.

california news headlines

CA: DWC Announces Electronic Submission of IMR Applications, Medical Records.

CA: RAND Submits Preliminary Findings Evaluating Impact of SB 863.

CA: Former Senator Leland Lee Sentenced to Five Years in Prison.

CA: CWCI Continues Case Law Series With 2016 Update.

Sedgwick Institute Names Workers Comp Expert Richard Victor as Senior Fellow.

NIOSH Examines Latest Advances in Assessing Occupational Exposure Limits.

JPMorgan Chase Study Examines Impact of "Online Platform Economy".

eNewsletter archives

Take a deep dive into our past eNewsletters for 2015 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

February 22, 2016: Medical Marijuana: Latest Research and Impact on Injured Workers.
February 16, 2016: King v. CompPartners: UR Physicians and Duty of Care.
February 8, 2016: MPN Access Standards: Three Physicians Required?
February 1, 2016: Invalid UR Determination in a Post-Dubon World.
January 25, 2016: Defendant Found Liable for EDD Lien.
CLICK HERE TO ACCESS 2010-2015 ARCHIVES.

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