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Comp bill would add independent medical review

Posted On: Jan. 27, 2020 1:39 PM CST

medical review

Missouri lawmakers introduced legislation Thursday that would require workers compensation disputes to be solved via binding independent medical review.

H.B. 2267, sponsored by Republican Rep. John Eggleston, creates new provisions for solving disputes regarding the modification, delay or denial of health care services.

Under the legislation, up to three independent medical review organizations that meet state requirements may be procured for the purposes of medical review, and all medical records and information relating to a dispute must be submitted for review within 20 calendar days of the request.

The state’s workers compensation department may review an independent review organization’s decision only in cases where there was a plainly erroneous finding of fact, if the decision was made without the ability to consider any document, test or image available at the time but not provided for review, or due to fraud, according to the language of the bill, and an employer may request review of the decision within 10 calendar days of its certification by the workers comp department.

The bill has not yet been assigned to a committee.