Utilization Review denies treatment
The workers' compensation reforms of late 2003 did two things that have
seriously impacted the benefits of injured workers, the reforms
eliminated vocational rehabiliation and instituted utilization review.
Utilization review is being used by carriers to deny treatment. One
claims adjuster recently posted in a workcompcentral forum (archived):
"As an adjuster, unless there
are no objective findings for the procedure and or it seems...