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Utilization Review
We offer prospective, concurrent and retrospective utilization review in accordance with California Regulations Labor Code section 5307.27 and Labor Code Section 4610. Preferred adheres to the Medical Treatment Utilization Schedule adopted by the Administrative Director (AD) of the Division of Workers’ Compensation and the American College of Occupational and Environmental Medicine Practice Guidelines (ACOEM). We make treatment recommendations utilizing medically based criteria to ensure a cost effective treatment plan is in place.
Our URAC certified Utilization Review Process is the catalyst that allows the Preferred team to excel in the management of the delicate balance between clinical and administrative care of the claim. Through our web-based technology platform and our proven experience with the new utilization review reforms we continue to provide injured and ill workers with a management team of highly skilled, like-minded health care professionals and a team of proactive administrative personnel.
Preferred provides customized solutions that ensure the best clinical practice methods for injured workers while reducing costs of medical care. Our efficient web-based utilization review system allows our medical staff to focus potentially expensive time and attention only on situations that require their expertise; while technology, effectively executes all the necessary administrative and regulatory tasks. This has resulted in a streamlined system that generates the most efficient medical review in a timely and highly cost-efficient manner. This means that our technology allows your utilization review services to be executed primarily by Qualified Physicians. The bottom line is that you will get this very necessary medical cost containment service better and faster than you would elsewhere. Through focused utilization review technology, our utilization review nurse and specialty team are able to focus heavily on our level of customer service.
Our utilization review team is led by our Medical Director, Jonathan S. Rutchik, MD, MPH. California Medical License: # G85804. Dr. Rutchik’s focus is on neurological illness, workplace injuries and environmental exposure. He is an Assistant Clinical Professor in the Division of Occupational Medicine, in the Department of Internal Medicine, at the University of California at San Francisco. Dr. Rutchik completed an Internship through the Department of Labor, OSHA, and Washington DC: Office of Occupational Medicine. He is a Board Certified Diplomat of the American Board of Preventative Medicine (Occupational and Environmental Medicine) and Board Certified Diplomat of the American Board of Psychiatry and Neurology. In addition he is a California Qualified Medical Examiner. All of Preferred’s reviewers are licensed Physicians, Chiropractors, Podiatrists, Dentists, Physical Therapists, Psychologists and Acupuncturists. All reviewers are domiciled and licensed in the state of review origin (when stipulated by regulations or when requested by client). Preferred is able to maintain extensive Physician based utilization review expertise due to the sheer effectiveness and technological efficiency provided through its streamlined web based utilization review system.
Our URAC certified Utilization Review Process is the catalyst that allows the Preferred team to excel in the management of the delicate balance between clinical and administrative care of the claim. Through our web-based technology platform and our proven experience with the new utilization review reforms we continue to provide injured and ill workers with a management team of highly skilled, like-minded health care professionals and a team of proactive administrative personnel.
Preferred provides customized solutions that ensure the best clinical practice methods for injured workers while reducing costs of medical care. Our efficient web-based utilization review system allows our medical staff to focus potentially expensive time and attention only on situations that require their expertise; while technology, effectively executes all the necessary administrative and regulatory tasks. This has resulted in a streamlined system that generates the most efficient medical review in a timely and highly cost-efficient manner. This means that our technology allows your utilization review services to be executed primarily by Qualified Physicians. The bottom line is that you will get this very necessary medical cost containment service better and faster than you would elsewhere. Through focused utilization review technology, our utilization review nurse and specialty team are able to focus heavily on our level of customer service.Our utilization review team is led by our Medical Director, Jonathan S. Rutchik, MD, MPH. California Medical License: # G85804. Dr. Rutchik’s focus is on neurological illness, workplace injuries and environmental exposure. He is an Assistant Clinical Professor in the Division of Occupational Medicine, in the Department of Internal Medicine, at the University of California at San Francisco. Dr. Rutchik completed an Internship through the Department of Labor, OSHA, and Washington DC: Office of Occupational Medicine. He is a Board Certified Diplomat of the American Board of Preventative Medicine (Occupational and Environmental Medicine) and Board Certified Diplomat of the American Board of Psychiatry and Neurology. In addition he is a California Qualified Medical Examiner. All of Preferred’s reviewers are licensed Physicians, Chiropractors, Podiatrists, Dentists, Physical Therapists, Psychologists and Acupuncturists. All reviewers are domiciled and licensed in the state of review origin (when stipulated by regulations or when requested by client). Preferred is able to maintain extensive Physician based utilization review expertise due to the sheer effectiveness and technological efficiency provided through its streamlined web based utilization review system.
