Wiggs, M. B293080 ADJ2798585, ADJ2723676 Writ issued 12/3/18
In this case involving admitted 1990s injuries resulting in the need for further medical treatment, whether the Board erred in ordering defendant to serve a nurse case manager with certain medical reports and in ordering the nurse case manager to evaluate applicant and report on the need, frequency and duration of home health care, based on the parties’ 2012 stipulation to use a nurse case manager to evaluate applicant’s health care needs, and not based on Utilization Review and Independent Medical Review.
It will be interesting to see if the current statutorily mandated utilization review and IMR overcomes a prior stipulation of the parties. Stay tuned.
Hefley Law, APC