December 28, 2022
The Third Court of Appeals (Austin) affirmed the district court’s judgment that the Plaintiff-Medical-Providers were not entitled to additional reimbursement in a dispute over the proper reimbursement of workers’ compensation medical benefits. The Court affirmed its decision in prior cases and concluded that, for the 28 Texas Administrative Code § 134.401 exception to apply, “total audited charges exceed $40,000 and that an admission involved unusually costly and unusually extensive services.”
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