335.010 Preauthorization and Retrospective Review of Workers Compensation

335.010

Preauthorization and Retrospective Review of Workers' Compensation: The Texas Medical Association decries the misuse or abuse of retrospective review. The call for preauthorization should be equal to a guarantee of payment unless the service was not substantially performed as requested or a different service was provided. If a physician is believed to have engaged in misuse or abuse related to preauthorization or retrospective review, such physician reviewer be reported to the appropriate state agency (Res. 415-A-02 reaffirmed CSE Rep. 1-A-13).

Last Updated On

October 07, 2016