TX 3rd Ct of Appeals Upholds TWCC IRO Fees

The Third Court of Appeals in Austin has upheld the constitutionality of Texas Workers' Compensation Commission (Commission) rules regarding fees to be paid to Independent Review Organizations (IROs) by health care providers and insurance carriers for medical necessity reviews. TWCC rules, including Workers' Compensation Rule Section 133.308, adopted after passage of House Bill 2600 by the Texas Legislature in 2001, require that disputes brought by health care providers or insurance carriers based on issues concerning the medical necessity of health care services provided are to be reviewed b...