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1171 wc denying all authorizations California
#1
Hi 1171. Settled case in 2006, I’ve noticed over the years w/c has changed and utilization review has become stricter with authorizing any medications, procedures or specialists.  What is going on?  Why can’t they follow the original award? If their not going to follow the original award shouldn’t my case have been reopened and updated? I’m paying for my medications, can’t see a specialist until 2021, it’s been discovered that from my original surgery I have permanent damage to my vocal cords from when they clamped my vocal cords to get to my cervical disc in the front. In order to have a new surgery to finish what was not completed back in 2001, I have to have a Vocal Strobe test. However my claims adjuster said she has submitted all the necessary paperwork to utilization review and hasn’t heard back from them. Everything I have read is that I cant. Reopen my case with the new discovery, I’m so frustrated and don’t know what to do
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
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#2
Too much abuse by the medical community. Fraud, crazy Treatment recommendations, unnecessary surgery, fake meds, phony billings, Etc. got to be a rigged con game By too many grifters disguised as doctors. Patients were too easily swayed.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#3
Here is a partial list of the most recent “bad players” .
In prior years there were many times that many. Thousands upon thousands were hurting patients and stealing. A medical license became a lIcense to maime and get paid outrageously for it. Our medical system is still badly broken.
https://www.dir.ca.gov/Fraud_Prevention/...n-List.htm
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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#4
Thank goodness my doctors or medical facilities are not on the list! I just don’t think it’s right for work comp not to honor the original settlement award since they also denied cashing out my medical.
Babebahn..."Tongues don't have erasers"
Injured 1999 3 level anterior cervical fusion 2001
Settled Work Comp Case 2006 w/ Lifetime Medical Currently, C7-T1 is being watched will possibly need surgery front/back fusion from C3-T2, lower back needs another facet injection.
 
Reply
#5
Thats just the ones that have been caught.
It keeps Doctors that don’t follow the rules from getTing paid.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
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