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Regulation
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Regulatory
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Regulation
Physician Reporting Requirements and Requests for Authorization
2nd Forum Comments
4/05/2010
CWCI Comments
Draft Reg. Section 9785 - Reporting Duties of Treating Physicians; Non-physician Providers
Draft Reg. Section 9792.5 - Payment for Medical Treatment
Draft Reg. Section 9792.6 - Utilization Review Standards
Draft Section 9785.2 - Treating Physician's Progress Report (DWC form PR-2)
Draft Section 9785.2 - Treating Physician's Progress Report (DWC form PR-2) Instructions
Draft Section 9785.5 - Request for Authorization for Medical Treatment (DWC form RFA)
Draft Section 9785.5 - Request for Authorization for Medical Treatment (DWC form RFA) Instructions
Draft Section 9785.6 - Functional Improvement Report (DWC Form FIR)
Draft section 9785.6 - Functional improvement report (DWC Form FIR) Instructions
Draft Section 9785.7 - Proof of Service for Medical Reporting (DWC form PSMR)
DWC Newsline 14-10
1st Forum Comment
5/18/2008
CWCI comment
Draft Physician Reporting Requirement Regulation
Draft Utilization Review Standards Regulation
Functional Improvement Report Form (DWC Form FIR) - Draft
Progress Report Form (DWC Form PR-2) - Draft
Progress Report Form Instructions (DWC Form PR-2) - Draft
Proof of Service for Medical Reporting Form (DWC Form PSMR) - Draft
Request for Authorization for Medical Treatment Form (DWC Form RFA) - Draft
The DWC Newsline 26-08
2nd Advisory Comments
6/01/2007
CWCI comments
CWCI recommended edits to Draft Authorization Request Form - 4/18/07
CWCI recommended edits to Draft Functional Improvement Report Form - 4/16/07
CWCI recommended edits to Draft PR-2 Form - three page version - 5/16/07
CWCI recommended edits to Draft PR-2 Form - two page version - 5/16/07
Draft Authorization Request Form - 4/18/07
Draft Functional Improvement Report Form - 4/16/07
Draft PR-2 Form - three page version - 5/16/07
Draft PR-2 Form - two page version - 5/16/07
Previous (11/06/06) DWC PR-2 Form
Previous (12/06/06) Draft E/M Documentation Form
Previous (12/06/06) Draft PR-2a Physical Medicine Form
Previous (12-06-06) Draft PR-2 Form
Previous (12/06/06) Draft Treatment Authorization Form
Previous (3/13/06) Draft PR-2 Form
Previous (3/21/06) Draft PR-2 Form
1st Advisory Comments
2/10/2006
CWCI comments
CWCI recommended edits to Draft Authorization Request Form - 4/18/07
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