MTUS
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Mar 22, 2024
AmTrust/Genex Use ODG to Deny Pre-Op Clearance
California law instructs physicians and claims administrators to consult the Medical Treatment Utilization Schedule (MTUS), adopted from the American College of Occupational ...
Oct 5, 2023
SCIF Inept UR #8: EK Health Makes False MTUS Claim
State Compensation Insurance Fund (SCIF) and EK Healthjust can’t seem to get the hang of Utilization Review (UR).We previousl...
Oct 2, 2023
SCIF, EK Health Use "ODG" Guidelines to Deny Care
For injured California workers, simply getting the appropriate care can be a nightmare of bureaucratic obstacles and interminable delays. An additional complication ha...
Apr 10, 2019
Updates to California's Guidelines for the Medical Treatment Utilization Schedule (MTUS)
The California Division of Workers’ Compensation (DWC) recently made two important announcements concerning the Medical Treatment Utilization Schedule (MTUS).First, th...
Sep 13, 2018
CA Drug Formulary Update Effective October 1
California’s Division of Workers’ Compensation (DWC) issued an update to Medical Treatment Utilization Schedule (MTUS) drug formulary, effective October 1, 2018. The formular...
Jul 16, 2018
CA DWC Seeks Public Comment on MTUS Updates
California’s Division of Workers’ Compensation seeks to update the state’s Medical Treatment Utilization Schedule (MTUS). The DWC wants to align the MTUS with recent and not-...
Apr 27, 2018
CA Workers' Comp Alert: MTUS Drug Formulary Update
California’s Division of Workers’ Compensation (DWC) ordered an update to the state’s drug formulary, effective May 15. The update adds 20 drugs to the formulary and r...
Apr 23, 2018
Filter and Search CA MTUS Drug Formulary With New Tool
California’s new drug formulary isn’t exactly user-friendly. For that reason, we developed a new tool to make authorization for pharmaceuticals much, much easier. The ...
Feb 15, 2018
How to Bill for Physician-Dispensed Pharmaceuticals
Payments for physician-dispensed drugs are some of the most misunderstood — and incorrectly denied — in workers’ compensation billing. Too often, the employer or insurer’s cl...
Jan 19, 2018
DWC 2018 Drug Formulary Webinar Video Available
The Division of Workers' Compensation (DWC) posted a video replay of their recent webinar on the newly effective drug formulary. The DWC hosted the webinar in December, follo...
Jan 9, 2018
DWC 2018 Drug Formulary Webinar Transcript Available
Last month, Division of Workers’ Compensation (DWC) hosted a detailed live webinar on the newly effective drug formulary. For those who could not attend the webinar, the DWC ...
Dec 12, 2017
Provider Alert: California Prescription Drug Formulary Effective January 2018
Last week, California’s Office of Administrative Law approved the Division of Workers’ Compensation (DWC)’s proposed evidence-based drug formulary. Through the formulary, the...