Texas Mutual Insurance Gains 'Great Victory' in Appeals Court Case Over Hospital Bills
"This Court of Appeals ruling puts a stop to questionable billing
practices of certain hospitals in
The guideline allowed an exception to the general rule that hospitals be
paid on a per diem basis for treatment of injuries involving workers'
compensation claims. The so-called "stop-loss exception," dating back to 1997,
dictated that hospital bills exceeding
Vista Medical Center Hospital in
In its opinion, the Court of Appeals noted that the lower court's interpretation of this matter led to "the absurd and unreasonable result" that reimbursement under the stop-loss exception had replaced the per diem standard.
Texas Mutual successfully argued that a system that put no restraints on
hospital charges and allowed hospitals to receive 75 percent any time they
chose to charge workers' compensation insurers
About Texas Mutual Insurance Company
For more information, visit http://www.texasmutual.com. Media Contact: John Egan firstname.lastname@example.org Elizabeth Christian & Associates Public Relations (512) 472-9599
SOURCE Texas Mutual Insurance Company
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