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NC S165
Bill
AI Summary
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Clarifies that the schedule of maximum fees for medical compensation under North Carolina's workers' compensation law must be based on Medicare payment methodologies with necessary adjustments.
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Establishes that the Industrial Commission must ensure injured workers receive appropriate services, providers receive reasonable reimbursement, and medical costs are adequately contained when setting fee schedules.
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Allows the Industrial Commission to consider statewide fee averages, geographical variations, other state workers' compensation payment structures, and Medicare fee schedule changes when reviewing and adjusting fee schedules.
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Requires the Industrial Commission to establish a transition plan and timeline for direct claims submission and reimbursement for medical compensation fees, including notice to affected stakeholders.
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Exempts the Industrial Commission from certification and fiscal note requirements under state administrative procedures when developing the required fee schedule, effective upon enactment.
Legislative Description
Workers' Comp./Clarify Medicare Methodology
Last Action
Ref To Com On Rules and Operations of the Senate
3/6/2017