Supreme Court Clarifies Burden of Proof in Medical Fee Dispute Review

The Texas Supreme Court ruled that in a worker’s compensation medical fee dispute resolution proceeding, the burden of proof is on the party seeking review. Case: Patients Medical Center v. Facility Insurance Corp., 01/29/2021, published. Facts and procedural history: The Texas Workers' Compensation Act requires that insurance carriers make “appropriate payment of charges for medical services” provided to injured workers. A health care provider who is denied payment or paid a reduced amount is entitled to a review by the Division of Workers’ Compensation. The div...