WCAB finds secondary physician RFA is enforeceable (Lopez v City and County of San Francisco)

In Lopez v. City and County of San Francisco, 2016 Cal. Wrk. Comp. P.D. LEXIS the WCAB affirms that a secondary physician who properly presents an RFA is entitled to timely UR review.  Defendant argued that a secondary physician’s report and RFA would not trigger a UR review unless and until the report and request had been reviewed by the PTP.  The WCAB rejected this argument and cited a string of precedent to note that secondary treaters RFA’s should be handled in the same way as PTP.  In this case the recommendation was for lumbar spine surgery so these recommendations can carry some serious import.

The lesson is not to ignore those secondary treating reports and make sure they are fully reviewed through UR.

Please read the full decision Lopez v City and County of San Francisco.