Pennsylvania Code
Title 34 - LABOR AND INDUSTRY
Part VIII - Bureau of Workers' Compensation
Chapter 127 - WORKERS' COMPENSATION MEDICAL COST CONTAINMENT
Subchapter C - MEDICAL TREATMENT REVIEW
PEER REVIEW
Section 127.617 - Duties of reviewers-issues reviewed
Universal Citation: 34 PA Code ยง 127.617
Current through Register Vol. 54, No. 38, September 21, 2024
(a) Reviewers shall decide only issues concerning the necessity and frequency of the treatment under review.
(b) Reviewers shall assume the existence of a causal relationship between the treatment under review and the employe's work-related injury. The reviewer may not consider or decide issues such as whether the employe is still disabled, whether maximum medical improvement has been obtained, quality of care or the reasonableness of fees.
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