16VAC30-16 Workers' Compensation Electronic Medical Billing

NOTICES OF INTENDED REGULATORY ACTION

Vol. 32 Iss. 21 - June 13, 2016

TITLE 16. LABOR AND EMPLOYMENT

VIRGINIA WORKERS' COMPENSATION COMMISSION

Chapter 16

Notice of Intended Regulatory Action

Notice is hereby given in accordance with § 2.2-4007.01 of the Code of Virginia that the Virginia Workers' Compensation Commission intends to consider promulgating 16VAC30-16, Workers' Compensation Electronic Medical Billing. The purpose of the proposed regulation is to establish standards and methods pursuant to which employers, employers' workers' compensation insurance carriers, and providers of workers' compensation medical services adopt and implement infrastructure under which (i) providers of workers' compensation medical services shall submit their billing, claims, case management, health records, and all supporting documentation electronically to employers or employers' workers' compensation insurance carriers and (ii) payers shall return actual payment, claim status, and remittance information electronically to providers that submit their billing and required supporting documentation electronically. The proposed regulation will be consistent with the electronic medical billing and payment guidelines of the International Association of Industrial Accident Boards and Commissions. This regulatory action is intended to satisfy the mandate of Chapter 621 of the 2015 Acts of Assembly.

The agency does not intend to hold a public hearing on the proposed action after publication in the Virginia Register.

Statutory Authority: § 65.2-605.1 of the Code of Virginia.

Public Comment Deadline: July 13, 2016.

Agency Contact: James J. Szablewicz, Chief Deputy Commissioner, Virginia Workers' Compensation Commission, 1000 DMV Drive, Richmond, VA 23220, telephone [phone], FAX [phone], or email [e-mail].

VA.R. Doc. No. R16-4654; Filed May 18, 2016, 10:08 a.m.