Per the California Labor Code section §9792.11 et seq., all entities that perform utilization review services for organizations are subject to investigation and audit by the Division of Workers’ Compensation (DWC). The DWC has recently completed their audit of Athens Managed Care and we are proud to announce that we received a perfect audit score of 100%!
The audit process starts with the Department of Workers’ Compensation (DWC) randomly selecting utilization review files where Athens Managed Care has completed and issued a decision for medical treatment from the injured workers treating physician. After a formalized list of files has been finalized, the DWC will then review each file to determine whether or not the decision that was made by Athens Managed Care followed §4610 and was based on medical treatment guidelines.
Why Is This Important?
Athens Managed Care has a focus of ensuring that treatment requests are in compliance with all nationally accepted evidence-based guidelines and delivering timely responses and results to our physician partners. This is important to our clients as it translates to timely medical treatment for their injured workers and an efficiently handled claim.
Learn more on how Athens Managed Care and Athens Administrators can improve your workers’ compensation program, at www.Athensmci.com and www.athensadmin.com.
For further information on Athens Administrators’ services please contact:
LEANN FARLANDER
Associate Vice President, Cost Containment
Athens Managed Care