The Division of Workers’ Compensation (DWC) has issued a notice of public hearing for the Independent Bill Review (IBR) regulations. A public hearing on the proposed regulations has been scheduled at 10 a.m., April 9
, in the auditorium of the Elihu Harris Building, 1515 Clay Street, Oakland, CA, 94612. The proposed rulemaking is to permanently adopt the IBR emergency regulations which became effective on Jan. 1, 2013. The IBR regulations implement Senate Bill (SB) 863’s mandate to establish an efficient procedure to resolve medical treatment and medical-legal billing disputes in the workers’ compensation system. Prior to this year, such disputes could only be resolved through litigation after the filing of a lien with the Workers’ Compensation Appeals Board. Under the proposed regulations, for dates of service on or after Jan. 1, 2013, a medical provider who disputes the amount of payment made on a bill must first submit a timely request to the claims administrator for a second review.
The notice of rulemaking, text of the regulations, and the initial statement of reasons can be found here: http://www.dir.ca.gov/dwc/DWCPropRegs/IBR/IBR_Regs.htm