325.000 WORKERS’ COMPENSATION

325.986           Hearing Outcomes in Workers’ Compensation Cases:

325.986           Hearing Outcomes in Workers’ Compensation Cases: MSSNY will urge the New York State Workers’ Compensation Board to enforce its current regulation that deems the physician as “an interested party,” and requires the concurrent provision of notices of dates and time of pending hearings to physicians, claimants and representatives, as well as outcomes of any

By |2024-07-23T18:29:33+00:00March 24th, 2023|325.000 WORKERS’ COMPENSATION|Comments Off on 325.986           Hearing Outcomes in Workers’ Compensation Cases:

325.985            Timely Authorizations:

325.985            Timely Authorizations: MSSNY will urge the New York State Department of Insurance and the New York State Workers Compensation Board to require insurance companies to provide a mechanism for authorizing requests for medical or surgical services in a timely fashion and that such an approval mechanism be available 24

By |2024-07-23T18:29:38+00:00March 24th, 2023|325.000 WORKERS’ COMPENSATION|Comments Off on 325.985            Timely Authorizations:

325.983           Timely Authorizations of Procedures:

325.983           Timely Authorizations of Procedures: MSSNY will work with the appropriate agencies to require health care plans to provide adequate staffing/personnel to support the volume of incoming requests for authorizations via telephone in a timely fashion so that the waiting time for answering said calls does not exceed 5 to 10 minutes; MSSNY will work

By |2024-07-23T18:29:42+00:00March 24th, 2023|325.000 WORKERS’ COMPENSATION|Comments Off on 325.983           Timely Authorizations of Procedures:

325.982           Augmentation of Damages in Workers’ Compensation Arbitration Cases:

325.982           Augmentation of Damages in Workers’ Compensation Arbitration Cases: MSSNY will urge the Workers’ Compensation Board to amend its new streamlined appeals process, requiring that:  (1) If a carrier makes misrepresentations to the Board concerning timely and proper receipt of bills, such misrepresentation be considered an act of bad faith, subjecting the carrier to judgment

By |2024-07-23T18:29:46+00:00March 24th, 2023|325.000 WORKERS’ COMPENSATION|Comments Off on 325.982           Augmentation of Damages in Workers’ Compensation Arbitration Cases:
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