|In the near future, I will be introducing legislation to amend the state Workers’ Compensation Act (Act 338 of 1915). My legislation will:
It is my sincere belief that this legislation will improve the Commonwealth’s workers’ compensation system by protecting health care providers and ensuring the uninterrupted and cost-efficient provision of services to injured workers. Please join me in co-sponsoring this important piece of legislation.
- Mandate insurers to accept electronic billing by January 1, 2017, thereby reducing costs and increasing the timely processing of transactions between providers and insurers.
- Impose financial penalties on insurers and their third party administrators (TPA’s) who fail to implement the updated Workers’ Compensation fee schedule by January 10 of each year
- Impose financial penalties on insurers who fail to pay claims within 30 days of receipt
- Eliminate the practice of “silent discounting” by requiring the establishment of a bona fide provider network agreement between physicians/insurers/employers and third parties and requiring that physicians receive notice when such a contractual agreement is made between an insurer/employer and a third party.
- Prohibit insurers and their agents from using threats or coercion in their solicitations for discounted reimbursements
- Allow providers access to relevant and appropriate claim information (i.e. the description of injury for which the insurer has accepted liability)