Workers’ Compensation • Cost Containment Provisions • Trauma Care Exception • Use of Outside Database to Reduce Reimbursement
Allegheny Gen. Hosp. v. Bur. of Workers’ Comp. Fee Review Hearing Office (State Workers’ Ins. Fund), PICS Case No. 16-0860 (Pa. Commw. July 6, 2016) Simpson, J. (23 pages).
A workers’ compensation hearing officer erred in accepting that provider’s reimbursement for trauma care could be repriced according to a fee cap in the MCC regulations. Order of the Workers’ Compensation Fee Review Hearing Office reversed; case remanded.
