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  • Home
  • About COA
    • Origin & History
    • Mission
    • Bylaws
    • COA Board
    • COA Committee/Task Force Chairs
    • Advertising
    • Staff
    • Contact/Forms
  • Membership
    • Join COA
    • Members
    • COA Member Directory
    • Member Discounts
    • Residents
    • Career Center
    • Expense Form
  • Annual Meeting/QME Course
    • 2021 Annual Meeting/QME Course
    • Print CME Certificates
    • Future Meetings
    • Past Annual Meetings & QME Courses

Workers’ Comp UR Feedback Form

As part of recently passed legislation, SB 1160, the Division of Workers’ Compensation (DWC) will be collecting data on all Requests for Authorizations (RFAs) from carriers/self-insured employers statewide.

What do they plan to do with this mountain of data?

Look for trends.
·         Utilization Review companies gaming the system and inappropriately denying or modifying care.
·         Payors/Self-Insured Employers who do not respond in a timely manner to a request for medical treatment.
·         Providers who are not following evidence-based DWC MTUS guidelines.

COA wants to have data from our members as well.

❶ BAD UR.org

Tell us about . . .
·         Bad UR decisions
·         UR decisions made by inappropriate physician specialties
·         Inefficient UR systems that unnecessarily delay care
·         Who is the worst UR physician that you routinely deal with?
·         Who is the worst claims adjuster?
·         Which payor/self-insured employer has the most inefficient UR system?

❷ Good Utilization Review Physicians

We also want to identify the names of physicians who do a good job as a Utilization Reviewer often with very limited information.

Complete the COA Feedback Form to provide your input.

Bad UR Feedback Form Good UR Feedback Form

COA will summarize the results of the feedback and provide the information to DWC.  Your name will be kept confidential.

Here’s your chance to change the UR process.
Send in your data today.

 

Upcoming COA Events

  • Thu
    20
    May
    2021
    Sun
    23
    May
    2021

    Monterey Convention Center


Annual Meeting/QME Course

Monterey Convention Center
Portola Hotel & Spa
May 20-23, 2021

Upcoming COA Events

  • Thu
    20
    May
    2021
    Sun
    23
    May
    2021

    Monterey Convention Center

Get in Touch With Us

California Orthopaedic Association
1246 P Street
Sacramento, CA 95814

Phone: 916-454-9884
Fax: 916-454-9882
Email: admin@coa.org

Contact Form

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