What is one purpose of an MCO medical treatment review?

The purpose of an MCO (Managed Care Organization) medical treatment review is fundamentally centered on examining the medical treatment provided to an injured worker and recommending an appropriate course of action. This process involves evaluating the necessity, efficiency, and appropriateness of the medical services rendered, ensuring that the treatment aligns with established medical guidelines and standards.

By reviewing the treatments, MCOs help ensure that the injured worker receives necessary care that promotes recovery while also managing costs effectively. This approach helps to optimize treatment plans and supports better outcomes for the injured worker by advocating for the most effective courses of action based on current medical knowledge.

In contrast, denying further medical treatment options serves a different purpose and could be a consequence of the review process but is not the primary aim. Providing a summary of past worker injuries does not directly relate to the ongoing evaluation of current medical treatment but rather offers historical context. Assessing the accuracy of medical bills, while important in the overall claims process, is also not the core function of the medical treatment review, which focuses specifically on treatment efficacy and recommendations.