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Texas Statutes (Last Updated: January 4, 2014) |
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LABOR CODE |
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Title 5. WORKERS' COMPENSATION |
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Subtitle A. TEXAS WORKERS' COMPENSATION ACT |
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Chapter 413. MEDICAL REVIEW |
| Subchapter A. GENERAL PROVISIONS |
| § 413.002. MEDICAL REVIEW |
| § 413.003. AUTHORITY TO CONTRACT |
| § 413.004. COORDINATION WITH PROVIDERS |
| § 413.006. ADVISORY COMMITTEES |
| § 413.007. INFORMATION MAINTAINED BY DIVISION |
| § 413.008. INFORMATION FROM INSURANCE CARRIERS; ADMINISTRATIVE VIOLATION |
| Subchapter B. MEDICAL SERVICES AND FEES |
| § 413.011. REIMBURSEMENT POLICIES AND GUIDELINES; TREATMENT GUIDELINES AND PROTOCOLS |
| § 413.0111. PROCESSING AGENTS |
| § 413.0115. REQUIREMENTS FOR CERTAIN VOLUNTARY OR INFORMAL NETWORKS |
| § 413.012. MEDICAL POLICY AND GUIDELINE UPDATES REQUIRED |
| § 413.013. PROGRAMS |
| § 413.014. PREAUTHORIZATION REQUIREMENTS; CONCURRENT REVIEW AND CERTIFICATION OF HEALTH CARE |
| § 413.0141. INITIAL PHARMACEUTICAL COVERAGE |
| § 413.015. PAYMENT BY INSURANCE CARRIERS; AUDIT AND REVIEW |
| § 413.016. PAYMENTS IN VIOLATION OF MEDICAL POLICIES AND FEE GUIDELINES |
| § 413.017. PRESUMPTION OF REASONABLENESS |
| § 413.018. REVIEW OF MEDICAL CARE IF GUIDELINES EXCEEDED |
| § 413.019. INTEREST EARNED FOR DELAYED PAYMENT, REFUND, OR OVERPAYMENT |
| § 413.020. DIVISION CHARGES |
| § 413.021. RETURN-TO-WORK COORDINATION SERVICES |
| § 413.022. RETURN-TO-WORK REIMBURSEMENT PROGRAM FOR EMPLOYERS; FUND |
| § 413.023. INFORMATION TO EMPLOYERS |
| § 413.024. INFORMATION TO EMPLOYEES |
| § 413.025. RETURN-TO-WORK GOALS AND ASSISTANCE |
| Subchapter C. DISPUTE RESOLUTION |
| § 413.031. MEDICAL DISPUTE RESOLUTION |
| § 413.0311. REVIEW OF MEDICAL NECESSITY DISPUTES; CONTESTED CASE HEARING |
| § 413.0312. REVIEW OF MEDICAL FEE DISPUTES; BENEFIT REVIEW CONFERENCE |
| § 413.032. INDEPENDENT REVIEW ORGANIZATION DECISION; APPEAL |
| Subchapter D. HEALTH CARE PROVIDERS |
| § 413.041. DISCLOSURE |
| § 413.042. PRIVATE CLAIMS; ADMINISTRATIVE VIOLATION |
| § 413.043. OVERCHARGING PROHIBITED; OFFENSE |
| § 413.044. SANCTIONS ON DESIGNATED DOCTOR |
| Subchapter E. IMPLEMENTATION OF COMMISSION POWERS AND DUTIES |
| § 413.051. CONTRACTS WITH REVIEW ORGANIZATIONS AND HEALTH CARE PROVIDERS |
| § 413.0511. MEDICAL ADVISOR |
| § 413.05115. MEDICAL QUALITY REVIEW PROCESS |
| § 413.0512. MEDICAL QUALITY REVIEW PANEL |
| § 413.05121. QUALITY ASSURANCE PANEL |
| § 413.05122. MEDICAL QUALITY REVIEW PANEL: RULES; TRAINING |
| § 413.0513. CONFIDENTIALITY REQUIREMENTS |
| § 413.0514. INFORMATION SHARING WITH OCCUPATIONAL LICENSING BOARDS |
| § 413.0515. REPORTS OF PHYSICIAN AND CHIROPRACTOR VIOLATIONS |
| § 413.052. PRODUCTION OF DOCUMENTS |
| § 413.053. STANDARDS OF REPORTING AND BILLING |
| § 413.054. IMMUNITY FROM LIABILITY |
| § 413.055. INTERLOCUTORY ORDERS; REIMBURSEMENT |