Doctors and physicians often rely on magnetic resonance imaging (MRI) and computed tomography (CT) scans to easily identify the true source of a patient’s illness or injury and decide what to do next. The technology is fast and effective, it has been heralded as one of the leading causes of increased average lifespans, decreased the need for exploratory surgery, and an overall reduction of lengthy hospital stays. Yet, it is being used less and less in treatments paid for by workers’ compensation packages?
Back in 2000, Medicare clearly recognized the uses of MRI, CT, and other similar advanced scanning technologies. From that year to 2006, it’s spending on such treatments more than doubled, from $3.6 billion a year to $7.6 billion. But the more they were using advanced scanning, the more they were costing themselves. So in response to the raised costs, they began to reimburse less and less for each incident of treatment, putting more of the cost onto individuals. They also created intense review processes that required patients to be examined thoroughly before permitting an MRI or CT scan, hoping to only use it when it was medically necessary. Of course, the risk was a condition could remain undiagnosed for longer. Workers’ compensation administrators and the DWC followed Medicare’s lead.
If the insurance adjuster is denying a request for an MRI or CT scan, consider calling us for a free consultation. We have been assisting people injured on the job for over 25 years.
The consultation is always free. 714-547-5025.