News & Analysis as of

Utilization Review Workers' Compensation Claim

White and Williams LLP

For PA Employers: Defense Against Medical Marijuana Goes Up in Smoke

White and Williams LLP on

Based on two Commonwealth Court decisions filed on March 17, 2023, medical marijuana is now medical treatment covered by the PA Workers’ Compensation Act (WC Act), and failure to pay is a violation of the Act, with up to 50%...more

Laughlin, Falbo, Levy & Moresi LLP

Utilization Review Denials v. Utilization Review Deferrals

Ever since utilization review (UR) became a mandatory requirement for all medical treatment requests, there have been numerous attempts to challenge not only individual UR determinations and the timeframes in which they have...more

Weber Gallagher Simpson Stapleton Fires &...

Workers' Compensation Academy: Strategies to Manage Costs of Medical Care in a PA Workers’ Compensation Claim

Do you want to learn more about controlling excessive medical costs on your Pennsylvania workers’ compensation claims? Tune in as our lawyers, Sherri Dougherty and Dawn Nicholson, discuss the use of utilization reviews, use...more

Chartwell Law

Did the PA Utilization Review Process Just Expand?

Chartwell Law on

KEYSTONE RX, LLC v. AMERIHEALTH - A recent opinion from the Commonwealth Court of Pennsylvania has changed the rules for Utilization Review and thrown open the doors to a new class of litigants....more

Haight Brown & Bonesteel LLP

Legislature's Plenary Power Trumps Constitutional Attacks As Court Upholds IMR Process

A second district of the California Court of Appeal has now upheld utilization review (UR) and independent medical review (IMR) as constitutional means to manage medical treatment in California's workers' compensation system....more

Haight Brown & Bonesteel LLP

When “Shall” Means “Should” – Court of Appeal Defines IMR Reporting Obligation

In 2004 and 2012 the California Legislature enacted reforms to streamline the medical treatment approval process for workers' compensation claims. The most significant of the 2012 reforms was California Senate Bill 863, which...more

Tucker Arensberg, P.C.

House Bill 1800 – Ripple Effects on Medical Care for Injured Workers

Tucker Arensberg, P.C. on

While it seems the members of our state legislature have been busy doing nothing but arguing about the budget for the past year – one young state rep has proposed a bill that may have a positive effect on employers seeking...more

Tucker Arensberg, P.C.

Cutting Costs By Reviewing Ongoing Medical Care For Injured Workers

Long term medical care related to workplace injuries can be a costly and frustrating proposition for employers and/or their Workers’ Compensation insurance carriers. In many cases, the injured workers’ medical care continues...more

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