Workers' Comp Unwrapped 222: When to Involve Utilization Review in Workers’ Comp Cases

Send us Fan MailWorkers Comp Unwrapped – Episode 222 Topic: When to Involve Utilization Review in Workers’ Comp Cases Subtitle: How to Survive UR, Get Approvals, and Actually Get Paid Host: Max Guest: AyeshaDescription: Utilization Review (UR): the gatekeeper of treatment approvals and the bane of every provider's existence. In this episode, Max and guest Ayesha dive deep into the what, when, and how of UR in California workers’ comp cases. From understanding Labor Code § 4610 to decoding why your RFAs keep getting denied, this episode unpacks the rules, timelines, and strategies that separate denied claims from paid ones.You’ll learn:What UR actually is and why it existsWhen you must submit an RFA—and how to do it rightCommon reasons RFAs get denied (and how to fix them)What happens after a denial—and when IMR can save the dayHow teams like MLM boost approval rates with smart submission strategiesWhether you're a physician, biller, or just tired of the phrase “we didn’t get your RFA,” this episode is packed with practical insights and compliance-critical tips.Key Takeaways:UR delays = payment denialsIncomplete RFAs = fast rejectionsMissed timelines = lost revenueStrategy = survivalBonus: Ayesha answers real UR survival questions from the field, including how MLM ensures your RFAs don’t just get sent—they get approved.Tune in, take notes, and take control of your UR process.#WorkersCompUnwrapped #UtilizationReview #WorkersComp #MedicalBilling #RFA #CaliforniaWorkersComp #IMR #ProviderSupport #MLM #ClaimsApprovalSupport the show#podcast #newepisode #episode #healthcare #hospitals #medical #workerscomp #attorney #doctors #california #usa #billing #workerscompbilling #trump #medicalprovider #LienFiling #SBR #Revenuecycle #DOR #Eamscasesearh #DIR #Credentialing #Collections #Insurancepayments #LienFunding #WCclaimsFor more infoCall 📱 888-296-1109Book Appointment Now | https://medicallienmgt.com/contact/