410.023
(a) On receipt of a request from a party or on its own motion, the division may direct the parties to a disputed workers’ compensation claim to meet in a benefit review conference to attempt to reach agreement on disputed issues involved in the claim. (b) The division shall require the party requesting the benefit […]
410.028
(a) A scheduled benefit review conference shall be conducted even though a party fails to attend unless the benefit review officer determines that good cause, as defined by commissioner rule, exists to reschedule the conference. (b) If a party to a benefit review conference under Section 410.023 requests that the benefit review conference be rescheduled […]
410.252
(a) A party may seek judicial review by filing suit not later than the 45th day after the date on which the division mailed the party the decision of the appeals panel. For purposes of this section, the mailing date is considered to be the fifth day after the date the decision of the appeals […]
412.042
(a) The director shall report to the legislature at the beginning of each regular session regarding the services provided by the office to a state agency subject to Chapter 501. The report required under this subsection shall be dated January 1 of the year in which the regular session is held and must include: (1) […]
413.0312
(a) This section applies only to a medical fee dispute that remains unresolved after any applicable review under Sections 413.031(b) through (i). (b) Subject to Subsection (e), a party to a medical fee dispute described by Subsection (a) must adjudicate the dispute in the manner required by Subchapter B, Chapter 410. (c) At a benefit […]
413.044
(a) In addition to or in lieu of an administrative penalty under Section 415.021 or a sanction imposed under Section 415.023, the commissioner may impose sanctions against a person who serves as a designated doctor under Chapter 408 who, after an evaluation conducted under Section 413.002(b), is determined by the division to be out of […]
413.05115
(a) The division shall develop, and the commissioner shall adopt, criteria concerning the medical case review process under this subchapter. In developing the criteria, and before adopting the criteria, the division and the commissioner, as applicable, must consult with the medical advisor and seek input from potentially affected parties, including health care providers and insurance […]
413.0512
(a) The medical advisor shall establish a medical quality review panel of health care providers to assist the medical advisor in performing the duties required under Section 413.0511. The panel is not subject to Chapter 2110, Government Code. (b) The agencies that regulate health professionals who are licensed or otherwise authorized to practice a health […]
413.05121
(a) The medical advisor shall establish the quality assurance panel within the medical quality review panel to: (1) provide an additional level of evaluation in medical case reviews; and (2) assist the medical advisor in performing the advisor’s duties under Section 413.0511(b)(6) and the medical quality review panel in performing that panel’s duties under Section […]
413.05122
(a) The commissioner, after consultation with the medical advisor, shall adopt rules concerning the operation of the medical quality review panel, including rules that establish: (1) the qualifications necessary for a health care provider to serve on the medical quality review panel; (2) the composition of the medical quality review panel, including the number of […]