Delaware: Regs focus on payment in surgery preauthorization requests

The Office of Workers' Compensation updated regulations regarding the health care payment system.

The rules clarify the surgery preauthorization requests within the utilization review process to add "the claimant's attorney of record" to the list of recipients of the utilization review determination. Surgeons certified in the health care payment system can perform surgery without seeking preauthorization. If an operating surgeon certified in the health care payment system does not preauthorize a surgery, the carrier or self-insured payer can pay the bill within 30 days or deny the bill and refer the non-preauthorized surgery to utilization review within 15 days. The rules went into effect on June 11.

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)
Massachusetts: Department spells out chronic pain treatment (08/01/11)
Oklahoma: Amendments keep focus on eye impairments (07/02/12)
Oregon: Hearing services are subject of temporary rules (05/31/12)

July 19, 2012

Newsletter Sign-up