Pennsylvania Code (Last Updated: April 5, 2016) |
Title 34. LABOR AND INDUSTRY |
PART VIII. Bureau of Workers Compensation |
Chapter 127. Workers Compensation Medical Cost Containment |
SubChapter C. MEDICAL TREATMENT REVIEW |
Section 127.617. Duties of reviewersissues reviewed
Latest version.
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(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 employes 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.