§ 127.617. Duties of reviewers—issues reviewed.

 (a)  Reviewers shall decide only issues concerning the necessity and frequency of the treatment under review.

 (b)  Reviewers shall assume the existence of a causal relationship between the treatment under review and the employe’s work-related injury. The reviewer may not consider or decide issues such as whether the employe is still disabled, whether maximum medical improvement has been obtained, quality of care or the reasonableness of fees.

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