Bill Text: NJ S2136 | 2016-2017 | Regular Session | Introduced
Bill Title: Concerns electronic medical bills for workers' compensation claims.*
Spectrum: Bipartisan Bill
Status: (Introduced - Dead) 2016-09-15 - Substituted by A3401 (AS/1R) [S2136 Detail]
Download: New_Jersey-2016-S2136-Introduced.html
Sponsored by:
Senator STEVEN V. OROHO
District 24 (Morris, Sussex and Warren)
SYNOPSIS
Concerns electronic submission of workers' compensation claims.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning electronic submission of workers' compensation claims and supplementing Title 34 of the Revised Statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. The commissioner shall adopt rules and regulations which:
a. ensure that all health care providers submit medical bills for payment on standardized forms;
b. require employers, workers' compensation insurance carriers of employers, and third-party administrators to accept electronic claims for the payment of medical services;
c. ensure confidentiality of medical information submitted on electronic claims for payment of medical services pursuant to the "Workers' Compensation Medical Information Confidentiality Act," P.L.2001, c.326 (C.34:15-128.1 et seq.); and
d. provide that payment for medical services provided or prescribed by the health care provider shall be made by the employer, workers' compensation insurance carrier, or third-party administrator to the health care provider within 15 working days after electronic receipt of an itemized electronic billing. If the billing is contested, denied, or incomplete, payment shall be made of any uncontested amounts within 15 working days after electronic receipt of the billing. Exclusive jurisdiction for any contested medical charge arising from any claim for compensation for a work-related injury or illness shall be vested in the division, pursuant to R.S.34:15-15.
2. This act shall take effect on the first day of the third month next following the date of enactment.
STATEMENT
This bill concerns the electronic submission of workers' compensation claims. Specifically, the bill requires the Commissioner of Labor and Workforce Development to adopt rules and regulations which:
(1) ensure that all health care providers submit medical bills for payment on standardized forms;
(2) require employers, workers' compensation insurance carriers of employers, and third-party administrators to accept electronic claims for the payment of medical services;
(3) ensure confidentiality of medical information submitted on electronic claims for payment of medical services pursuant to the "Workers' Compensation Medical Information Confidentiality Act," P.L.2001, c.326 (C.34:15-128.1 et seq.); and
(4) provide that payment for medical services provided or prescribed by the health care provider shall be made by the employer, workers' compensation insurance carrier, or third-party administrator to the health care provider within 15 working days after electronic receipt of an itemized electronic billing. If the billing is contested, denied, or incomplete, payment shall be made of any uncontested amounts within 15 working days after electronic receipt of the billing. Exclusive jurisdiction for any contested medical charge arising from any claim for compensation for a work-related injury or illness shall be vested in the division, pursuant to R.S.34:15-15.
