Recently, changes were made to the appeals process when dealing with treament issues and Managed Care Organizations (MCO). If an MCO denies authorization for treatment, as always, the injured worker has the right to file an appeal. If an appeal is filed, then the issue is sent directly to the Bureau of Workers’ Compensation (BWC) to be addressed. In the past, if an appeal was filed to the denial of treatment, the MCO would be given a “second bite at the apple”, i.e. a second opporutnity to address the issue before the matter would be addressed by the BWC. The hope is that by eliminating one of the steps, this will allow treatment issues to be addressed more efficiently. Only time will tell.