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Utilization Review

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Matian Medical provides utilization review services for claims administrators needing a Medical Director who is a Physician (M.D. or D.O.) in order to be in compliance with Labor Code Section 4610.

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Key Benefits

bullet Compliance with Labor Code Section 4610
bulletReduced medical expenditures
bulletImproved healing potential for patients
bulletFaster return to work time

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Dr. David Matian is board certified and licensed to practice medicine in the State of California.  As a major university trained Family Physician, he is knowledgeable, experienced and broadly trained in almost every field of medicine including Orthopedics, Neurology, Internal Medicine, and Occupational and Environmental Medicine.  He is also an osteopathic physician (D.O.), which has enhanced his medical training to include education in chiropractic, physical therapy, and manipulation.  
As a Qualified Medical Examiner (QME), Dr. Matian is personally familiar with the Worker’s Compensation System and the American College of Occupational and Environmental Medicine (ACOEM) Guidelines, making him highly qualified to evaluate proper medical treatment and oversee compliance with the Guidelines. 
The new law provides that every insurer must employ a California Licensed Physician and only this physician/medical director can delay, deny, or modify treatment.  This is an important change in the utilization review procedures because, as of January 1, 2004, adjusters can no longer delay a decision.  In addition, the response to an authorization request must be delivered within five working days.  Matian Medical can provide not only efficient and accurate service, but also guarantee the stringent turn around time mandated by the Labor Code.

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