Senate Bill 0559
DIGEST OF SB559 (Updated February 24, 2009 6:48 pm - DI 84)
Worker's compensation matters. Requires the worker's compensation board (board) to establish a medical utilization review procedure for medical treatment provided to or proposed for work related injuries and illnesses. Requires a health care provider to file a claim for payment with the board not later than two years after the last date the provider provided services to an injured or disabled employee. Establishes a $60 filing fee that must accompany the claim for payment. Requires that billing review services be certified by the board. Increases from $1,000 to $5,000 the maximum civil penalty that may be assessed against a billing review service that does not comply with the statutory billing review standards. Allows the second injury fund to be used to pay certain fund liabilities. Authorizes the board to resolve claims using mediation. Increases civil penalties for failure to: (1) post certain notices; (2) file certain records; and (3) determine liability for claims in a timely manner. Permits the board to request evidence of worker's compensation and occupational diseases compensation coverage from an employer. Establishes civil penalties for an employer's failure to provide proof of coverage. Allows the board, after notice and a hearing, to post on the board's web site the name of an employer who fails or refuses to provide proof of coverage. Requires that civil penalties be deposited in the worker's compensation supplemental administrative fund, instead of the state general fund. Amends the definition of "pecuniary liability" applying to the responsibility of an employer or insurance carrier to recognize that the charge for services provided by a medical services facility may be determined using the Medicare resource based relative value scale.
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