Delaware: Department tweaks health care payment system

The Department of Labor made regulatory changes to the health care payment system that went into effect on June 13.

The department added a seventh health care practice guideline to the regulations regarding lower extremities. Wording in the regulations was changed to include current dental terminology codes for dental offices. Language was added that requires an answer for surgery preauthorization requests. The regulations also required changes to the following forms: 1) health care provider application for certification; 2) request for utilization review; 3) physician's report of workers' compensation injury; and 4) employer's modified duty report. The utilization review request form no longer includes attorney information, adds room for a second health care provider, and streamlines the medical documentation requirements.

Read more at the WorkersComp Forum homepage.

Washington: Department smoothes out conflicting provider network rules (10/08/12)
Texas: Amendments align health care rules (09/01/11)
Delaware: Regs focus on payment in surgery preauthorization requests (07/19/12)
Massachusetts: Department spells out chronic pain treatment (08/01/11)
Oregon: Hearing services are subject of temporary rules (05/31/12)

June 30, 2011

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