HRobrecht

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, [...]

ATHENS eBULLETIN | December 30, 2019 Earlier this year the Department of Industrial Relations (DIR) and it's Division of Workers Compensation (DWC) discussed the progress they've seen on the Department's Independent Medical Review (IMR) program. An IMR is the dispute resolution process put together by the state's workers' compensation system. It is a panel of medical professionals who review decisions made by the insurance program. As the use of Independent Medical Reviews continues to increase, we are seeing a steady decrease in the turnaround time. Overall, the industry is seeing Maximus Federal Services, Inc., (the IMR organization administering the program) overturn [...]