California (2021, October 12) - The California Workers' Compensation Institute reported that there were fewer requests for medical review documents by employees and workers' compensation lawyers in Anaheim. The agency reports that the reason may be due to the pandemic. There is still record-high unemployment and a high volume of residents of California working from home. For these reasons, there is a lower chance of a workplace injury occurring, meaning a lesser risk of a denied claim requiring a medical review.
In 2020, the California Workers' Compensation Institute reported a total of 136,738 medical review documents requested. In 2019, there were 163,899 requests, and in 2018, there were 185,735. From 2020 to 2019, there was a 16.6% decline, and from 2020 to 2018, there was a 26% decline.
There were still plenty of disputes in 2020, as evidenced by the over 136,000 requests for medical review documentation. Of these, most were for prescription cases dealing with opioids, while musculoskeletal medicines were right behind. Finally, the third most popular case for pharmaceuticals involved treatments for dermatological conditions.
Prescription drug requirements are the most common reason, as mentioned, why someone may need a medical review letter. Right after, there are requests for the need for physical therapy. Third, it is the need that some patients have for injections of medications, including even IVs for hospital stays.
The last category with over 5% of requests involved medical equipment. These were for products like wheelchairs and prosthetics. Additional review documentation needs were for differential types of treatments, but they accounted for very few instances. You can contact a workers' compensation lawyer Anaheim for any reason you may have for medical review letters. They have expertise in navigating the denial and reapplication process.
Rawa Law Group is a legal team with a staff who has a combined 50 years of experience in workers' compensation cases. They advocate for you and negotiate with employers and insurance companies to help you get your benefits. Clients do not pay until the insurance companies approve their claims.