DWC Says Rules Would Prohibit Docs From Filing Complaints to Avoid Fee Dispute Deadline

The Texas Division of Workers’ Compensation on Tuesday said it is accepting comments on a proposed rule that aims to prohibit health care providers from using the agency’s complaint process to bypass the medical fee dispute resolution filing deadline. In most cases, providers are required to file a request to resolve a dispute over fees within one year from the date of service. Exceptions to the requirement to request resolution of a billing dispute within one year apply when compensability, extent of injury or liability, and medical necessity are challenged, or when the dispute ...