Tuesday, August 12, 2014

"Medical Board decides it does have authority to discipline utilization review physicians"


In a press release from the California Medical Association (CMA) dated June 25, 2013 the Medical Board of California was reported to have  concluded that the medical board "agreed that physicians conducting worker's compensation utilization review were indeed engaged in the practice of medicine and subject to review by the board." The release also stated that "the board does not, however, have jurisdiction over out-of-state physicians performing utilization review in California." The release explains that Governor Brown vetoed AB 584 (Fong) in 2011 "which would have required worker's compensation utilization review physicians to be licensed in California." The release stated that "CMA supported the bill ... to require that all utilization review be done by California-licensed physicians in order to ensure that there is a disciplinary pathway for the medical board in case an injured worker is unduly hurt by a utilization review-based modification or denial of care."

Presumably, the MBC still holds to this view. Likewise, we believe that other organizations aside from the CMA still hold to this view, e.g, the Union of American Physicians and Dentists, the American Federation of State, County and Municipal Employees (AFSCME, AFL-CIO), and the California Society of Physical Medicine and Rehabilitation (CSPMR).

That is why we're surprised to understand that at the present time the MBC reportedly does not feel this issue merits priority action. 
Perhaps we'll learn we're not on target in this understanding when the MBC meets this autumn in San Diego. 

4 comments:

  1. It is interesting that California requires state license for physicians who give advice through telemedicine

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  2. Get kaiser "health" n it's other subsidiaries out of the public sector both state &federal &our government will work. Kaiser's modus operandi is to save money at any costs. It also rakes in billions of federal, state dollars to assist the public sector in the same mo, savibg money st sny cost, competely undermining our stste and federal government and we are all paying for it, whether we are employees, patients, injured workers or taxpayers, kaiser got very rich, all to take over our governments.

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  3. This comment has been removed by a blog administrator.

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  4. http://www2.mbc.ca.gov/BreezePDL/document.aspx?path=%5cDIDOCS%5c20160906%5cDMRAAAFC4%5c&did=AAAFC160906224213064.DID&licenseType=G&licenseNumber=15640#page=1

    Check out this lawsuit against Dr. Thomas S Powers of Open Care Medical Clinic in Santa Ana. He is currently operating at 2112 East 4th St. Suite 100, Santa Ana CA 92705

    Medical board is finally cracking down. Good for them!

    This is an official petition to revoke license made by the executive director of the medical board of california and the attorney general of California.

    This doctor is also on the FTB list of top 500 Tax delinquent accounts, check here: https://www.ftb.ca.gov/aboutFTB/Delinquent_Taxpayers.shtml

    According to state law "The Medical Board of California is required to deny an application for licensure and to suspend the license/certificate/registration of any applicant or licensee who has outstanding tax obligations due to the Franchise Tax Board (FTB) or the State Board of Equalization (BOE) and appears on either the FTB or BOE's certified lists of top 500 tax delinquencies over $100,000. (AB 1424, Perea, Chapter 455, Statutes of 2011)".

    He has been delinquent since 2006 and is operating illegally according to state law.

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