AAI Says Texas Ruling Undercuts Med Review

In a ruling that will severely hamper insurers' ability to weed out fraud and therefore could lead to higher workers compensation costs, a Texas appellate court has ruled that insurers don't have the authority to audit medical bills. "The court's ruling will undercut insurers' ability to assure workers compensation costs are reasonable and necessary, opening the door to unscrupulous health care providers and claimants intent on defrauding the system," said David Anderson, Alliance vice president and assistant director of workers compensation and health. "This will put further upward pressure...