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People also ask
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What does it mean to be under medical review?
It just means that all the information regarding your claim is being reviewed: medical examiner reports, medical imaging, doctor's notes, accident reports, anything submitted in support of your claim. Also considered is wether you qualify for Social Security benefits.
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What is the IMR approach?
IMR combines 1) psychoeducation about mental illness, 2) cognitive-behavioral approaches to medication management, 3) planning for relapse prevention, 4) social skills training to strengthen social support, and 5) coping skills to manage symptoms of mental illness.
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What is an independent medical review application?
An Independent Medical Review (IMR) is a process in which expert independent medical professionals are selected to review specific medical decisions made by the insurance company.
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What is the IMR process?
If the worker disagrees with the result of the UR, they can request an independent medical review to challenge the decision. An IMR is a non-judicial process utilized to adjudicate disputes over medical treatments for injured workers.
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How long does an independent medical review take?
The final determination for a "regular" IMR review is 30 days of receipt of the IMR Application and supporting documentation. For an "expedited" IMR review, the determination will be made within 3 days of receipt of the IMR application and the supporting documentation.
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What does IMR do?
Independent medical review (IMR) is a quick, non-judicial way to resolve disputes about the medical treatment of injured employees.
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What is the IMR procedure?
An Independent Medical Review (IMR) is the appeal that may be requested if an employee's medical care is denied, delayed or modified by the Utilization Review (UR). IMR is 'designed' to be a more efficient and less expensive way of resolving disputes than directly going through the court system. (
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How long does an IMR take?
A decision is due: Within 30 days of receipt of DWC Form IMR and written UR determination for a non-expedited IMR. Within 3 days of receipt of DWC Form IMR and written UR determination for an expedited IMR, when the disputed treatment has not yet been provided.
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