{"id":4847,"date":"2026-03-02T08:30:39","date_gmt":"2026-03-02T16:30:39","guid":{"rendered":"https:\/\/lawnjh.com\/danh-gia-y-te-doc-lap-trong-mot-vu-viec-boi-thuong-cho-nguoi-lao-dong-la-gi\/"},"modified":"2026-03-02T08:30:39","modified_gmt":"2026-03-02T16:30:39","slug":"danh-gia-y-te-doc-lap-trong-mot-vu-viec-boi-thuong-cho-nguoi-lao-dong-la-gi","status":"publish","type":"post","link":"https:\/\/lawnjh.com\/vi\/danh-gia-y-te-doc-lap-trong-mot-vu-viec-boi-thuong-cho-nguoi-lao-dong-la-gi\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp trong m\u1ed9t v\u1ee5 vi\u1ec7c B\u1ed3i th\u01b0\u1eddng cho Ng\u01b0\u1eddi lao \u0111\u1ed9ng l\u00e0 g\u00ec?"},"content":{"rendered":"<p>\u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 IMR, l\u00e0 m\u1ed9t quy tr\u00ecnh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c v\u1ee5 vi\u1ec7c b\u1ed3i th\u01b0\u1eddng cho ng\u01b0\u1eddi lao \u0111\u1ed9ng t\u1ea1i California \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c tranh ch\u1ea5p v\u1ec1 \u0111i\u1ec1u tr\u1ecb y t\u1ebf. Khi m\u1ed9t c\u00f4ng ty b\u1ea3o hi\u1ec3m t\u1eeb ch\u1ed1i, tr\u00ec ho\u00e3n ho\u1eb7c thay \u0111\u1ed5i y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129, ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1ecb th\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u00f3 quy\u1ec1n y\u00eau c\u1ea7u m\u1ed9t cu\u1ed9c \u0111\u00e1nh gi\u00e1 \u0111\u1ed9c l\u1eadp. <\/p>\n<p>M\u1ee5c ti\u00eau c\u1ee7a IMR l\u00e0 x\u00e1c \u0111\u1ecbnh xem vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u c\u00f3 c\u1ea7n thi\u1ebft v\u1ec1 m\u1eb7t y t\u1ebf theo c\u00e1c h\u01b0\u1edbng d\u1eabn y t\u1ebf v\u1ec1 b\u1ed3i th\u01b0\u1eddng cho ng\u01b0\u1eddi lao \u0111\u1ed9ng c\u1ee7a California hay kh\u00f4ng.<\/p>\n<h2>T\u1ea1i sao \u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng<\/h2>\n<p>Tr\u01b0\u1edbc khi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb y t\u1ebf \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t trong m\u1ed9t v\u1ee5 vi\u1ec7c b\u1ed3i th\u01b0\u1eddng cho ng\u01b0\u1eddi lao \u0111\u1ed9ng, y\u00eau c\u1ea7u ph\u1ea3i tr\u1ea3i qua m\u1ed9t quy tr\u00ecnh g\u1ecdi l\u00e0 \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng (utilization review). Trong qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng, c\u00f4ng ty b\u1ea3o hi\u1ec3m s\u1ebd \u0111\u00e1nh gi\u00e1 xem ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1 xu\u1ea5t c\u00f3 \u0111\u00e1p \u1ee9ng c\u00e1c ti\u00eau chu\u1ea9n c\u1ea7n thi\u1ebft v\u1ec1 y t\u1ebf hay kh\u00f4ng. <\/p>\n<p>N\u1ebfu vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ecb t\u1eeb ch\u1ed1i, tr\u00ec ho\u00e3n ho\u1eb7c thay \u0111\u1ed5i th\u00f4ng qua quy tr\u00ecnh \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng, ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1ecb th\u01b0\u01a1ng c\u00f3 th\u1ec3 khi\u1ebfu n\u1ea1i quy\u1ebft \u0111\u1ecbnh \u0111\u00f3 b\u1eb1ng c\u00e1ch y\u00eau c\u1ea7u \u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp.<\/p>\n<h2>Nh\u1eefng lo\u1ea1i quy\u1ebft \u0111\u1ecbnh n\u00e0o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t l\u1ea1i<\/h2>\n<p>\u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp t\u1eadp trung c\u1ee5 th\u1ec3 v\u00e0o c\u00e1c tranh ch\u1ea5p v\u1ec1 \u0111i\u1ec1u tr\u1ecb y t\u1ebf. C\u00e1c v\u00ed d\u1ee5 v\u1ec1 nh\u1eefng v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c xem x\u00e9t th\u00f4ng qua IMR bao g\u1ed3m: <\/p>\n<ul>\n<li aria-level=\"1\">T\u1eeb ch\u1ed1i ph\u1eabu thu\u1eadt ho\u1eb7c c\u00e1c th\u1ee7 thu\u1eadt y t\u1ebf<\/li>\n<li aria-level=\"1\">Y\u00eau c\u1ea7u v\u1eadt l\u00fd tr\u1ecb li\u1ec7u ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/li>\n<li aria-level=\"1\">Ph\u00ea duy\u1ec7t c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nh\u01b0 ch\u1ee5p MRI<\/li>\n<li aria-level=\"1\">C\u1ea5p ph\u00e9p cho c\u00e1c lo\u1ea1i thu\u1ed1c ho\u1eb7c thi\u1ebft b\u1ecb y t\u1ebf<\/li>\n<li aria-level=\"1\">Khuy\u1ebfn ngh\u1ecb ch\u0103m s\u00f3c chuy\u00ean khoa<\/li>\n<\/ul>\n<p>IMR kh\u00f4ng x\u00e1c \u0111\u1ecbnh c\u00e1c kho\u1ea3n tr\u1ee3 c\u1ea5p khuy\u1ebft t\u1eadt ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 phi y t\u1ebf kh\u00e1c trong h\u1ed3 s\u01a1 y\u00eau c\u1ea7u b\u1ed3i th\u01b0\u1eddng.<\/p>\n<h2>Quy tr\u00ecnh IMR ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o<\/h2>\n<p>\u0110\u1ec3 b\u1eaft \u0111\u1ea7u quy tr\u00ecnh, ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1ecb th\u01b0\u01a1ng ph\u1ea3i n\u1ed9p \u0111\u01a1n y\u00eau c\u1ea7u \u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp sau khi nh\u1eadn \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o t\u1eeb ch\u1ed1i t\u1eeb quy tr\u00ecnh \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng. Y\u00eau c\u1ea7u s\u1ebd \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn Ban B\u1ed3i th\u01b0\u1eddng cho Ng\u01b0\u1eddi lao \u0111\u1ed9ng (Division of Workers\u2019 Compensation). <\/p>\n<p>M\u1ed9t chuy\u00ean gia y t\u1ebf \u0111\u1ed9c l\u1eadp, ng\u01b0\u1eddi kh\u00f4ng tham gia v\u00e0o quy\u1ebft \u0111\u1ecbnh ban \u0111\u1ea7u, s\u1ebd xem x\u00e9t h\u1ed3 s\u01a1 y t\u1ebf v\u00e0 y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 s\u1ebd xem x\u00e9t li\u1ec7u vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u c\u00f3 \u0111\u00e1p \u1ee9ng Danh m\u1ee5c S\u1eed d\u1ee5ng \u0110i\u1ec1u tr\u1ecb Y t\u1ebf (Medical Treatment Utilization Schedule) v\u00e0 c\u00e1c ti\u00eau chu\u1ea9n y t\u1ebf \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn kh\u00e1c hay kh\u00f4ng. <\/p>\n<p>Sau khi vi\u1ec7c \u0111\u00e1nh gi\u00e1 ho\u00e0n t\u1ea5t, m\u1ed9t quy\u1ebft \u0111\u1ecbnh b\u1eb1ng v\u0103n b\u1ea3n s\u1ebd \u0111\u01b0\u1ee3c ban h\u00e0nh. C\u00f4ng ty b\u1ea3o hi\u1ec3m ph\u1ea3i tu\u00e2n theo quy\u1ebft \u0111\u1ecbnh n\u00e0y. <\/p>\n<h2>T\u1ea1i sao IMR l\u1ea1i quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1ecb th\u01b0\u01a1ng<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb y t\u1ebf l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i sau tai n\u1ea1n lao \u0111\u1ed9ng. Khi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ecb t\u1eeb ch\u1ed1i, quy tr\u00ecnh IMR cung c\u1ea5p m\u1ed9t ph\u01b0\u01a1ng th\u1ee9c \u0111\u1ec3 ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1ecb th\u01b0\u01a1ng \u0111\u01b0\u1ee3c m\u1ed9t ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 y t\u1ebf \u0111\u1ed9c l\u1eadp xem x\u00e9t l\u1ea1i quy\u1ebft \u0111\u1ecbnh \u0111\u00f3. <\/p>\n<p>M\u1eb7c d\u00f9 quy tr\u00ecnh n\u00e0y ch\u1ec9 t\u1eadp trung nghi\u00eam ng\u1eb7t v\u00e0o t\u00ednh c\u1ea7n thi\u1ebft v\u1ec1 y t\u1ebf, n\u00f3 c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh li\u1ec7u m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng c\u00f3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t hay b\u1ecb t\u1eeb ch\u1ed1i.<\/p>\n<h2>Nh\u1eadn h\u1ed7 tr\u1ee3 khi b\u1ecb t\u1eeb ch\u1ed1i \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p>C\u00e1c tranh ch\u1ea5p v\u1ec1 \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 ch\u1eadm tr\u1ec5 v\u00e0 kh\u00f4ng ch\u1eafc ch\u1eafn trong qu\u00e1 tr\u00ecnh y\u00eau c\u1ea7u b\u1ed3i th\u01b0\u1eddng cho ng\u01b0\u1eddi lao \u0111\u1ed9ng. N\u1ebfu vi\u1ec7c ch\u0103m s\u00f3c y t\u1ebf c\u1ee7a qu\u00fd v\u1ecb b\u1ecb t\u1eeb ch\u1ed1i ho\u1eb7c tr\u00ec ho\u00e3n, qu\u00fd v\u1ecb c\u00f3 th\u1ec3 khi\u1ebfu n\u1ea1i quy\u1ebft \u0111\u1ecbnh \u0111\u00f3 th\u00f4ng qua \u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp. <\/p>\n<p>V\u0103n ph\u00f2ng Lu\u1eadt s\u01b0 Norman J. Homen gi\u00fap \u0111\u1ee1 nh\u1eefng ng\u01b0\u1eddi lao \u0111\u1ed9ng b\u1ecb th\u01b0\u01a1ng tr\u00ean kh\u1eafp California gi\u1ea3i quy\u1ebft c\u00e1c tranh ch\u1ea5p v\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 b\u1ea3o v\u1ec7 quy\u1ec1n l\u1ee3i c\u1ee7a h\u1ecd trong h\u1ec7 th\u1ed1ng b\u1ed3i th\u01b0\u1eddng cho ng\u01b0\u1eddi lao \u0111\u1ed9ng. Li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i ngay h\u00f4m nay \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n mi\u1ec5n ph\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u00e1nh gi\u00e1 Y t\u1ebf \u0110\u1ed9c l\u1eadp, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 IMR, l\u00e0 m\u1ed9t quy tr\u00ecnh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c v\u1ee5 vi\u1ec7c b\u1ed3i th\u01b0\u1eddng cho ng\u01b0\u1eddi lao \u0111\u1ed9ng t\u1ea1i California \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c tranh ch\u1ea5p v\u1ec1 \u0111i\u1ec1u tr\u1ecb y t\u1ebf. Khi m\u1ed9t c\u00f4ng ty b\u1ea3o hi\u1ec3m t\u1eeb ch\u1ed1i, tr\u00ec ho\u00e3n ho\u1eb7c thay \u0111\u1ed5i y\u00eau&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50,74],"tags":[],"class_list":["post-4847","post","type-post","status-publish","format-standard","hentry","category-blog-vi","category-boi-thuong-cho-nguoi-lao-dong"],"_links":{"self":[{"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/posts\/4847","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/comments?post=4847"}],"version-history":[{"count":0,"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/posts\/4847\/revisions"}],"wp:attachment":[{"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/media?parent=4847"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/categories?post=4847"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lawnjh.com\/vi\/wp-json\/wp\/v2\/tags?post=4847"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}