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TX WC Commissioner Adopts Amendments Regarding Medical Bill Processing
11 Feb, 2011 WorkersCompensation.com
The purpose of the adoptions is to add necessary requirements to ensure that workers' compensation medical billing aligns, to the extent possible, with the billing requirements and standards adopted by the Centers for Medicare and Medicaid Services (CMS) as required by Texas Labor Code §413.011. The amendments and additions clarify the data standards, requirements and processes associated with electronic medical bill processing as required by Texas Labor Code §408.0251. Additionally, these rules clarify the field requirements for paper medical bills submitted by health care providers who are exempt from electronic submission.
The DWC Form-066, Statement of Pharmacy Services, is being revised to conform with the adopted rules.
The finalized form will be made available to workers' system participants at a later date.
The adopted rules are effective August 1, 2011.
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