Workers' compensation; payments for medical services, liability of employer. (HB1058)

Introduced By

Del. Terry Kilgore (R-Gate City)

Description

Workers' compensation; payments for medical services. Requires that, for health care services rendered to a workers' compensation claimant on or after July 1, 2014, (i) the charge master used by a health care provider shall be the same charge master used by a health care provider when providing health care services to patients other than claimants; (ii) the pecuniary liability of the employer for treatment rendered by an assistant-at-surgery will be limited to those services as coded and billed consistent with the then current Physician Fee Schedule Relative Value file; and (iii) multiple procedures shall be coded and billed as agreed upon by a work group composed of subject matter experts. The measure also establishes (a) a procedure for advanced authorization for medical treatment and testing of an injured employee when requested by the provider; (b) prompt payment requirements; and (c) a two-year limitations period on a health care provider's submission of claims contesting the sufficiency of payment for services rendered on or after July 1, 2014. Read the Bill »

Outcome

History