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2014 SESSION

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HB 1017 Workers' compensation; cost and payment for medical services.

Introduced by: Terry G. Kilgore | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Workers' compensation; payment for medical services. Limits the liability of an employer for medical treatment provided to an injured person that is rendered by a nurse practitioner or physician assistant serving as an assistant-at-surgery to no more than 20 percent of the charge of the physician performing the surgery. The measure requires multiple procedures associated with medical, surgical, and hospital services rendered on or after July 1, 2014, to be coded and billed with appropriate CPT modifiers and paid according to the National Correct Coding Initiative rules. The measure also (i) establishes prompt payment requirements with respect to health care services provided under the Workers' Compensation Act; (ii) prohibits an employer or insurer from seeking recovery of a payment made to a health care provider for health care services rendered after July 1, 2014, absent fraud, unless recovery is sought less than one year from the date payment was made; and (iii) prohibits a health care provider from submitting a claim to the Workers' Compensation Commission contesting the sufficiency of payment for health care services rendered to a claimant on or after July 1, 2014, unless such claim is filed within one year from the date of service for which payment is sought, the date the employer or insurer notifies the provider that payment is denied, or the last date payment was made, whichever occurs last.


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