After hearing from insurers who said the fees paid to independent medical-review organizations are already too high and from a provider who said they are far too low, the Texas Department of Insurance decided to leave the fee structure exactly as it is now.
In a formal rule proposal released Tuesday, the department proposes no changes to the two-tiered structure governing how much IROs can charge utilization review agents and payers. Tier One fees, which cover independent review of medical or surgical care by a doctor of medicine or osteopathy, would remain at $650. Tier Two fees, charg...
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