One of the most frustrating realities of California workers’ compensation is that the system, which exists to protect injured workers, can be weaponized against them through sloppy medical reporting. A situation we encountered this week is a perfect example of why the initial steps you take after a workplace injury matter enormously.
Medical Treatment
New Court Decision Makes It Harder to Receive Ongoing Care
The California Court of Appeal issued an important decision that affects almost every injured worker who relies on ongoing medical treatment. The case, Illinois Midwest Insurance Agency v. WCAB (Rodriguez), holds that insurance companies must run every treatment request through Utilization Review (UR) and Independent Medical Review (IMR). Yes, even continuing or long-term care.
Medical Treatment Request Denials
When the Insurance Company Plays Doctor: The Reality of Medical Treatment Denials