| | The purpose of this bill is to streamline the procedures for | the review of medical treatment provided to an injured worker | under the workers' compensation laws. This bill repeals those | provisions that: |
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| | 1. Define "utilization review"; |
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| | 2. Require a utilization review; |
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| | 3. Require the certification of insurance carriers; |
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| | 4. Deem a health care provider to have consented to submit | records and information by accepting payment; |
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| | 5. Allow an insurer to withhold payment if the insurer | determines a health care cost is excessive; |
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| | 6. Allow a health facility or health care provider to appeal | the determination of an insurer that certain health care was | inappropriate or improperly utilized; and |
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| | 7. Make a Class D crime the knowing submission of false or | misleading records of information to an insurer by a health | facility or health care provider. |
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