Illinois Gov. Bruce Rauner has vetoed, with recommended changes, a workers’ compensation measure that would have allowed for interest to be paid on delayed payment in disputes between insurers and medical service providers.
In his letter explaining his veto action, Rauner stated: “SB 904, as approved by the General Assembly, proposes changes to the Workers’ Compensation Act to: 1) provide to medical providers a mechanism for collection of the 1% per month interest penalty provided by Section 8.2 of the Act; and 2) provide penalties for the Department of Insurance enforcement of the electronic claims transaction requirements under the Act.”
While the governor SB 904 is not responding, he advocates reforms in the business alliance system that will provide workers with “relief from employers at high costs of our system”. Legislation says that it has not made meaningful reforms and that Illinois has not offered changes that will make labor costs compatible with other states.
According to a statement by the American Insurance Association, which opposes the bill, “SB 904 medical service providers would have allowed insurance companies to get insurance when there was a dispute about a medical bill. It’s the price of solving and solving the claim. “
AIA, Middle East Regional Vice President Steve Schneider, said the association “welcomed Valin’s choice of injured workers for medical treatment before doctors pay.”
In a letter to his MPs, Rauner said the system was hinting at bills for health providers and “did nothing to help injured workers.” He also said, “The employer has the ability to determine the cause and whether the injury works.” -about.”
The governor said he would like to set up a procedure through the Illinois Workers Compensation Commission to ensure timely payment of interest payments to all interested parties.
Both the Illinois State Medical Association and the Illinois Health and Hospital Association have approved the design, in particular with regard to the provision of interest collection in late payments. In a statement posted on the ISMS website, the groups noted that delayed payment is a “problem always in the processing of injured workers”, adding that there is a worrying increase in the delay of paying for “pre-authorized” workers compensation for medical care. “Said. Medical providers were not able to attract attention, so they were “left in a crime for maintenance costs”.
Among other things, the governor made the following recommendations for changes in the bill:
Ask an employer to provide the health provider of an injured worker or an injured worker with an email address and an email address to send medical bills.
Claim a health provider’s invoice within 90 days of the date on which the employer or insured services are provided to the injured worker.
Delete the required language from the Medical Wage Advisory Board, which will help the Illinois Workers Compensation Commission to adopt certain rules on the terms of the disclosure of benefits.
Ask a healthcare provider to file a petition with the Commission to decide whether or not it owes an unquestionable health bill (instead of allowing a health care provider to sue the employer or insurer for interest payments).
Require the insurer to accept electronic fines and penalties for insurance companies that have failed to deliberately or repeatedly accept electronic claims and response.
Deletion of the language required for the insurance manager to accept certain rules regarding electronic claim requests includes rules that ensure that health care providers comply with registration requirements made by employers and insurers for the approval of workers’ compensation claims.
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