18 WC 13234 Page 2 . Physical therapy is unique. list of bill review companies as a convenience. If you have questions on the PPP process, contact 7. (4) The following shall apply for injuries occurring. of an arm below the elbow, such injury shall be compensated as a loss of an arm. What is included in global fee schedules? WebWhen the Rate Adjustment Fund reaches the sum of $5,000,000 the payment therein shall cease entirely. Illinois Compiled Statutes 820 ILCS 305 Workers' Compensation Act. (b) If the period of temporary total incapacity for work lasts more than 3 working days, weekly compensation as hereinafter provided shall be paid beginning on the 4th day of such temporary total incapacity and continuing as long as the total temporary incapacity lasts. WebIf an on-the-job injury requires medical care, an employee should promptly seek medical assistance at the University of Illinois Hospital, Department of Emergency Medicine, 1740 W. Taylor Street, Chicago or call 312-996-7296. (Source: P.A. Indiana If, after the accidental injury has been sustained, the employee as a result thereof becomes partially incapacitated from pursuing his usual and customary line of employment, he shall, except in cases compensated under the specific schedule set forth in paragraph (e) of this Section, receive compensation for the duration of his disability, subject to the limitations as to maximum amounts fixed in paragraph (b) of this Section, equal to 66-2/3% of the difference between the average amount which he would be able to earn in the full performance of his duties in the occupation in which he was engaged at the time of the accident and the average amount which he is earning or is able to earn in some suitable employment or business after the accident. In such event, the period of time for giving notice of accidental injury and filing application for adjustment of claim does not commence to run until the termination of such payments. Illinois may have more current or accurate information. What is happening with electronic claims? compensation rate in death cases under Section 7, and permanent total disability cases under paragraph (f) or subparagraph 18 of paragraph (3) of this Section and for temporary total disability under paragraph (b) of this Section and for amputation of a member or enucleation of an eye under paragraph (e) of this Section shall be increased to 133-1/3% of the State's average weekly wage in covered industries under the Unemployment Insurance Act. 8. Commission rules and the "Payment Guide" refer only to surgical services being subject to the multiple procedure modifier. AMA impairment rating (using the most current edition of the Guides), Evidence of disability in the treating providers' medical records. If the source note at the end of a Section of the statutes includes a Public Act that has not yet taken effect, the version of the law that is currently in effect may have already been removed from the database and you should refer to that Public Act to see the changes made to the current law. For more information, please contact the All T codes should be paid at POC76/POC53.2. Every hospital, physician, surgeon or other person rendering treatment or services in accordance with the provisions of this Section shall upon written request furnish full and complete reports thereof to, and permit their records to be copied by, the employer, the employee or his dependents, as the case may be, or any other party to any proceeding for compensation before the Commission, or their attorneys. Florida The refund is not taxed as income unless it exceeds the IRS rate. Please type or print. 8.1b. Starts from the moment a job begins. AAAHC; 18 WC 13234 Page 2 . The provider may request information about the Commission claim and if the employee fails to respond or provide the information within 90 days, the provider is entitled to resume collection efforts and the employee is responsible for payment of the bills. promulgated by the Commission, inform the employee of the preferred provider program; (B) Subsequent to the report of an injury by an, employee, the employee may choose in writing at any time to decline the preferred provider program, in which case that would constitute one of the two choices of medical providers to which the employee is entitled under subsection (a)(2) or (a)(3); and, (C) Prior to the report of an injury by an. (a) For the purposes of this Section, "eligible employee" means any part-time or full-time State correctional officer or any other full or part-time employee of the Department of Corrections, any full or part-time employee of the Prisoner Review Board, any full or part-time employee of the Department 150 weeks if the accidental injury occurs on or, 162 weeks if the accidental injury occurs on or, Where an accidental injury results in the enucleation. If the bill is less than the fee schedule amount, the bill is awarded at 100% of the charge. thumb or of any finger or toe shall be considered to be equal to the loss of one-half of such thumb, finger or toe and the compensation payable shall be one-half of the amount above specified. In the event of a decrease in such average weekly wage there shall be no change in the then existing compensation rate. You're all set! Art. Does the attorney have to itemize each medical provider's bill to fit within the fee schedule? (h-1) In case an injured employee is under legal disability at the time when any right or privilege accrues to him or her under this Act, a guardian may be appointed pursuant to law, and may, on behalf of such person under legal disability, claim and exercise any such right or privilege with the same effect as if the employee himself or herself had claimed or exercised the right or privilege. How should a payer handle a bill with incorrect codes? The amount of the set-aside is determined on a case-by-case basis and should be reviewed by the Centers for Medicare and Medicaid Services (CMS), in the following situations: Once the CMS-determined set-aside amount is exhausted and accurately accounted for to CMS, Medicare will pay as primary payer for future Medicare-covered expenses related to the wc injury. Equal Employment Opportunity laws prohibit employment discrimination based on race, color, sex, religion, national origin, disability, and some other factors. An impairment report is not required to be submitted by the parties with a settlement contract. Generally, they cover all facility fees except for the carve-outs (e.g, implants). No payment of compensation under this Act shall be made to an illegally employed minor, or his legal representatives, unless such payment and the waiver of his right to reject the benefits of this Act has first been approved by the Commission or any member thereof, and if such payment and the waiver of his right of rejection has been so Arizona; California; Colorado; Florida; Georgia; Illinois; Worker's Compensation and Related Laws--Industrial Commission 72-1352A. If the employer does not dispute payment of first aid, medical, surgical, and hospital services, the employer shall make such payment to the provider on behalf of the employee. WebIllinois Compiled Statutes 820 ILCS 305 Workers' Compensation Act. Search Laws by State. Medicare recommends parties draft a Workers' Compensation Medicare Set-aside Arrangement (WCMSA), which allocates a portion of the wc settlement for future medical expenses. WebCounty confirming a decision of the Illinois Workers Compensation Commission (Commission) Kimberly Smyth, in accordance with the Workers Compensation Act (Act) (820 ILCS 305/1 seq.et (West 2014)). 18. Note: There are some general HCPCS codes on the fee schedule (e.g., J3490: unclassified drug) that show a fee or POC76/POC53.2 (i.e., pay 76% or 53.2% of charge). The usual and customary rate would apply. The fee schedule covers only those areas of medical treatment specifically listed on the IWCC website. Fees for durable medical equipment vary, depending on whether the equipment is new, old, or rented. How should we pay procedures that are not listed in Hospital Outpatient Surgical and ASTC schedules? The State of Illinois shall directly reimburse the State Employees' Retirement System to the extent of such credit. 820 ILCS 310: Workers Occupational Diseases Act. 1975, except as hereinafter provided, shall be 100% of the State's average weekly wage in covered industries under the Unemployment Insurance Act, that being the wage that most closely approximates the State's average weekly wage. Effective 9/1/11, when the legislature reduced the fee schedule, across the board, by 30%, POC76 was reduced to POC53.2. Section 8.2(d) requires payers to pay bills that contain "substantially all the required data elements necessary to adjudicate the bill." 520), and amended February 28, 1956 (P.L. This paragraph does not apply to payments made under any group plan which would have been payable irrespective of an accidental injury under this Act. he U.S. Department of Health and Human Services, Office of Civil Rights (OCR), administers the Health Insurance Portability and Accountability Act (HIPAA). If you have a question that is not addressed on this page, Information maintained by the Legislative Reference Bureau, Updating the database of the Illinois Compiled Statutes (ILCS) is an ongoing process. Other nonhospital urgent care centers should be reimbursed per the Professional Services fee schedule. Sections 8(a) and 8.1a of the Act authorize employers to create Preferred Provider Programs (PPP) for workers' compensation medical care. (d) 1. This site is maintained for the Illinois General Assembly 3. If the losses of hearing average 30 decibels or less in the 3 frequencies, such losses of hearing shall not then constitute any compensable hearing disability. The guidelines include a number of frequently asked questions. For Equipment--and any code that begins with a letter--is in the Healthcare Common Procedure Coding System (HCPCS) fee schedule. Go to the Non-Hospital Fee Schedule section on the Where the accidental injury accompanied by physical injury results in damage to a denture, eye glasses or contact eye lenses, or where the accidental injury results in damage to an artificial member, the employer shall replace or repair such denture, glasses, lenses, or artificial member. (e) No consideration shall be given to the. IV - States' Relations The IWCC used the CMS list of Hospital Outpatient Surgical Facility (HOSF) procedure codes (not reimbursement levels) to develop the HOSF and ASTC fee schedules. Read the code on FindLaw Workers' Comp; View All Legal Topics. II - Executive (j) 1. The employee can then go to one other medical provider and that provider's chain of referrals. 235 weeks if the accidental injury occurs on or, 253 weeks if the accidental injury occurs on or, Where an accidental injury results in the amputation. When possible, we calculated a fee for each component. 48, par. existed on July 1, 1975 by audiometric testing the employer shall not be liable for the previous loss so established nor shall he be liable for any loss for which compensation has been paid or awarded. Illinois Department of Insurance. The Compensation Act provides the exclusive remedy or means by which an employee may recover against an employer for a work-related injury. If there is a listed value for an S code, use that value. For more info, go to the Providers and payers are expected to follow common conventions as to what is understood to be included. California Must bills be submitted on certain forms? If during the intervening period from the date of the entry of the award, or the last periodic adjustment, there shall have been an increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act, the weekly compensation rate shall be proportionately increased by the same percentage as the percentage of increase in the State's average weekly wage in covered industries under the Unemployment Insurance Act. This Act may be cited as the Workers' Compensation Act. Where an accidental injury results in the amputation of an arm above the elbow, compensation for an additional 15 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 17 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid, except where the accidental injury results in the amputation of an arm at the shoulder joint, or so close to shoulder joint that an artificial arm cannot be used, or results in the disarticulation of an arm at the shoulder joint, in which case compensation for an additional 65 weeks (if the accidental injury occurs on or after the effective date of this amendatory Act of the 94th General Assembly but before February 1, 2006) or an additional 70 weeks (if the accidental injury occurs on or after February 1, 2006) shall be paid. Before 6/28/11, all prescriptions were paid at the usual and customary (U&C) rate. If medical records are subpoenaed, there is no per-page copying fee allowed. If an employer notifies a provider that it will pay only a portion of a bill, the provider may seek payment of the unpaid portion from the employee up to the lesser of the actual charge, the negotiated rate, or the rate in the fee schedule. Web820 ILCS 305/ Workers' Compensation Act. Determination of permanent partial disability. To assign new fee schedule amounts in response to the Medicare changes, we would have to promulgate rules, which is a months-long process. The furnishing by the employer of any such services or appliances is not an admission of liability on the part of the employer to pay compensation. DECISION SIGNATURE PAGE . North Carolina Web(5 ILCS 345/1) (from Ch. In a case of specific loss and the subsequent. If the description does not contain a time increment, then the fee schedule amount reflects reimbursement for an episode as is generally accepted in Illinois. Temporary partial disability benefits shall be equal to two-thirds of the difference between the average amount that the employee would be able to earn in the full performance of his or her duties in the occupation in which he or she was engaged at the time of accident and the gross amount which he or she is earning in the modified job provided to the employee by the employer or in any other job that the employee is working. In all other cases such adjustment shall be made on July 15 of the second year next following the date of the entry of the award and shall further be made on July 15 annually thereafter. Vocational rehabilitation may include, but is not limited to, counseling for job searches, supervising a job search program, and vocational retraining including education at an accredited learning institution. average weekly wage in covered industries under the Unemployment Insurance Act on July 1, 1975 is hereby fixed at $228.16 per week and the computation of compensation rates shall be based on the aforesaid average weekly wage until modified as hereinafter provided. The For 81: The lesser of 15% of the fee schedule amount or 15% of the primary surgeon's fee.For 82: The lesser of 20% of the fee schedule amount or 20% of the primary surgeon's fee. This percentage rate shall be increased by 10% for each spouse and child, not to exceed 100% of the total minimum wage calculation, nor exceed the employee's average weekly wage computed in. These hospitals specialize in brain injury, spinal cord injury, etc. The payer could contact the provider and try to resolve such issues. Georgia The ALJ decision was reviewed by the This list is more extensive than that approved by CMS for ASTCs. For the permanent loss of use or the permanent partial loss of use of any such member or the partial loss of sight of an eye, for which compensation has been paid, then such loss shall be taken into consideration and deducted from any award for the subsequent injury. Health Care Services Lien Act prohibits health care professionals and providers from placing a lien on an injured worker's award or settlement. How are healthcare professionals paid in hospital settings? How are inpatient rehabilitation services paid? From treatment from 9/1/11 and thereafter, implants are paid at 25% above the net manufacturer's invoice price less rebates, plus actual reasonable and customary shipping charges. We can be contacted 24-7 through an online form or call us at (855) 929-6041 to arrange a free consultation. accordance with the provisions of Section 10, whichever is less. a list of licensed ASTCS. 2. The endorsed warrant and receipt is a full and complete acquittance to the Commission for the payment out of the Second Injury Fund. I - Legislative WebA. Art. Illinois Department of Insurance. Allied health care professionals use the modifier -AS to designate their assistance in a surgery. The specific case of loss of both hands, both. An employee entitled to benefits under paragraph (f) of this Section shall also be entitled to receive from the Rate Adjustment Fund provided in paragraph (f) of Section 7 of the supplementary benefits provided in paragraph (g) of this Section 8. CMS excludes codes from this list for two main reasons: The procedure is relatively minor and the facility component is included in the physicians charge for the procedure; For procedures that CMS classifies as inpatient, the IWCC recommends that payers and providers should use the POC76 (before 9/1/11)/POC53.2 (on or after 9/1/11) default for these facility bills. What do I need to know about Workers' Comp Medicare Set-Aside Arrangements? If, for example, a bill comes in for $50,000 with $10,000 in pass-through charges, apply the remaining $40,000 to the fee schedule amount, and pay the lesser of the $40,000 or the fee schedule amount. Webchicago family medical leave act (fmla) coordinator (human resources representative) - il, 60634-1417 The application for adjustment of claim shall state briefly and in general terms the approximate time and place and manner of the loss of the first member. shall be confined to the frequencies of 1,000, 2,000 and 3,000 cycles per second. If there is an alleged violation of the balance billing provision, the parties would have to respond the way other allegedly inappropriate bills are handled, and, if unable to resolve the matter, take the issue to circuit court. The IWCA provides an administrative remedy for employee injuries arising out of and in the course of the[ir] employment. 820 ILCS 305/11. JCAHO . by the. In cases where the temporary total incapacity for work continues for a period of 14 days or more from the day of the accident compensation shall commence on the day after the accident. Section 8.7 of the Illinois Workers' Compensation Act provides that an employer may conduct prospective, concurrent, and retrospective review of treatment, as long as the employer complies with the following requirements: If you believe a UR company is not following the URAC standards (including the standards on the timeliness of responding to requests), you can contact the representative listed on the list of measured losses in each of the 3 frequencies shall be added together and divided by 3 to determine the average decibel loss. Why were some Hospital Outpatient and ASTC codes omitted fromthe 2014 fee schedules? (f) In case of complete disability, which renders the employee wholly and permanently incapable of work, or in the specific case of total and permanent disability as provided in subparagraph 18 of paragraph (e) of this Section, compensation shall be payable at the rate provided in subparagraph 2 of paragraph (b) of this Section for life. The only part of the Illinois workers' comp fee schedule that explicitly uses ICD codes is the Inpatient Rehabilitation Hospital fee schedule, which sets a maximum per diem rate. Commission rules state that hospital inpatient services, implants, and professional services charged as part of hospital outpatient services should be billed on the UB-04, CMS1450, or CMS1500 claim form. Commission letterhead to download. Michigan The employee is responsible for payment for services found not covered or compensable unless agreed otherwise by the provider and employee. To the extent that there are fees listed for home health services, outpatient renal dialysis, or psychiatric hospitals (freestanding or dedicated psychiatric units in acute care hospitals) in the HCPCS and CPT professional services fee schedules, these fees should be applied. or sight of an eye, or hearing of an ear, compensation during that proportion of the number of weeks in the foregoing schedule provided for the loss of such member or sight of an eye, or hearing of an ear, which the partial loss of use thereof bears to the total loss of use of such member, or sight of eye, or hearing of an ear. after June 28, 2011 (the effective date of Public Act 97-18) and if the accidental injury involves carpal tunnel syndrome due to repetitive or cumulative trauma, in which case the permanent partial disability shall not exceed 15% loss of use of the hand, except for cause shown by clear and convincing evidence and in which case the award shall not exceed 30% loss of use of the hand. What is a Preferred Provider Program (PPP)? Note that Section 10(a) of the This is not correct. WebA. If the employee refuses to make such change the Commission may relieve the employer of his obligation to pay the doctor's charges from the date of refusal to the date of compliance. Board of Patent Appeals, Preamble However, where an employer has on file an employment certificate issued pursuant to the Child Labor Law or work permit issued pursuant to the Federal Fair Labor Standards Act, as amended, or a birth certificate properly and duly issued, such certificate, permit or birth certificate is conclusive evidence as to the age of the injured minor employee for the purposes of this Section. Illinois Delays could result in charges not being awarded and bills becoming uncollectable under the balance billing provision. However, the employee shall submit to all physical examinations required by this Act. Nothing herein contained repeals or amends the provisions of the Child Labor Law relating to the employment of minors under the age of 16 years. Click on the links, "Approved Workers' Compensation Preferred Provider Program Administrator Listing" and the "Provisionally Approved Workers' Compensation Preferred Provider Program Administrator Listing." A technician may take a x-ray, for example, and a radiologist would read it. The cost of such treatment and nursing care shall be paid by the employee unless the employer agrees to make such payment. Alaska Disability as enumerated in subdivision 18, paragraph (e) of this Section is considered complete disability. Such adjustments shall first be made on July 15, 1977, and all awards made and entered prior to July 1, 1975 and on July 15 of each year thereafter. No limitations of time provided by this Act run so long as the employee who is under legal disability is without a conservator or guardian. Who to Ask Workers Compensation and Claims Management, WorkComp@uillinois.edu, 217-333-1080 Helpful Links The multiple procedure modifier does apply on POC procedures. Web(a-1) Regardless of its state of domicile or its principal place of business, an employer shall make payments to its insurance carrier or group self-insurance fund, where applicable, Services not covered or not compensable are not subject to the fee schedule. The employer shall also pay for treatment, instruction and training necessary for the physical, mental and vocational rehabilitation of the employee, including all maintenance costs and expenses incidental thereto. Art. PPP rules, effective March 4, 2013. It is the Commission's position that the 53.2% reduction in HB 1698 supercedes any administrative rules that are inconsistent with this reduction, including the outlier rule. All weekly compensation rates provided under. DOI lists PPPs on its website. Cooperation. The Department of Labor, the Department of Employment Security, the Department of Revenue, and the Illinois Workers' Compensation Commission shall cooperate under this Act by sharing information concerning any suspected misclassification by an employer or entity of one or more of its employees as independent contractors. Payment Guide to Global Days. Sec. This includes but is not limited to supplies, miscellaneous services, etc. Disclaimer: These codes may not be the most recent version. AWP or its equivalent as registered by the National Drug Code shall be set forth as published for that drug on that date in We encourage payers to provide specific information about why a bill was rejected or reduced. In addition, parties may contract for reimbursement amounts, as allowed in Section 8.2(f). WebWorker's Compensation and Related Laws--Industrial Commission Section 72-1352A. phalanges of 2 or more digits, of a hand may be compensated on the basis of partial loss of use of a hand, provided, further, that the loss of 4 digits, or the loss of use of 4 digits, in the same hand shall constitute the complete loss of a hand. WebDisfigurement (Section 8(c) of Workers Compensation Act): An employee who suffers a serious and permanent disfigurement to the head, face, neck, chest above the armpits, Hospitals that run an urgent care center and bill with the hospital tax ID# should follow the Hospital Outpatient fee schedule. Is interest owed if the claim is disputed for valid reasons but later determined to be compensable? If other bill review companies would like to get on the list, vP! 1. Some people claim these J codes should be used for prescription bills, and payment should be at that fee or at POC. 1. 4. WebOn November 4, 2015, the Illinois Supreme Court held that an employee cannot bring an action against an employer outside the Workers' Compensation Act, 820 ILCS 305/1, or the Workers' Occupational Diseases Act ("WODA"), 820 ILCS 310/1, when the employee's disease first manifests after the expiration of time limitations under those acts ("Acts"). The Second Injury Fund is appropriated for the purpose of making payments according to the terms of the awards. You should clearly identify the different charges, but separate bills are not necessary. death of such injured employee from other causes than such injury leaving a widow, widower, or dependents surviving before payment or payment in full for such injury, then the amount due for such injury is payable to the widow or widower and, if there be no widow or widower, then to such dependents, in the proportion which such dependency bears to total dependency. Where can I find information about modifiers? 70, par. The Department of Insurance issued rules If you need a legal opinion, we suggest you consult your own legal counsel. Conclusion: Allied health care providers should be paid as follows: For 80: The lesser of 20% of the fee schedule amount or 20% of the primary surgeon's fee. First subtract the pass-through charges (also known as revenue code charges) from the bill, then apply the fee schedule. Are radiology services subject to multiple procedure cutbacks? 138.1) Sec. [bN&ob|+d!D3F$)/kD4yUyp97!F}3fr"RFq 5Rv?1g.bEIFuQtQ-\z[@)mNHt6 1>fL. While the claim at the Commission is pending, the provider may mail the employee reminders that the employee will be responsible for payment of the bill when the provider is able to resume collection efforts. industrial noise shall be brought against an employer or allowed unless the employee has been exposed for a period of time sufficient to cause permanent impairment to noise levels in excess of the following: Sound Level DBA Slow Response Hours Per Day 90 8 92 6 95 4 97 3 100 2 102 1-1/2 105 1 110 1/2 115 1/4, This subparagraph (f) shall not be applied in cases. What facilities are covered under the Ambulatory Surgical Treatment (AST) fee schedule? 19. Commission issued guidance to arbitrators regarding the use of American Medical Association impairment ratings: The preceding two statements are simply provided as guidance of the Commissions review of the new law and some current relevant arguments and interpretations and are not a rule of general applicability. This section refers to an employers unreasonable or vexatious delay of payment, intentional underpayment of benefits or the employer undertakes legal proceedings which do not represent a real controversy, the employer may be liable for Section 19K penalties. Most of the time, each component is billed separately. Because we use the Medicare template to create the hospital outpatient and ASTC fee schedules, these codes were not included in the 2014 fee schedules. The amount of compensation which shall be paid to the employee for an accidental injury not resulting in death is: (a) The employer shall provide and pay the In other words, there is no site-of-service adjustment. of a leg below the knee, such injury shall be compensated as loss of a leg. Illinois Legislative Website DESCRIPTION: 40 ILCS 4-110.1 Disability pension-line of duty Sec. The amount when so posted and published shall be conclusive and shall be applicable as the basis of computation of compensation rates until the next posting and publication as aforesaid. As of July 1, 1980 to July 1, 1982, all claims against and obligations of the Second Injury Fund shall become claims against and obligations of the Rate Adjustment Fund to the extent there is insufficient money in the Second Injury Fund to pay such claims and obligations. You already receive all suggested Justia Opinion Summary Newsletters. New York WebDeclarations - Identifies who is an insured, the insured's address, the insuring company, what risks or property are covered, the policy limits (amount of insurance), any applicable deductibles, the policy number, the policy period, and the premium amount. Contact the all T codes should be reimbursed per the Professional services fee covers! 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Full and complete acquittance to the Commission for the carve-outs ( e.g implants! Impairment rating ( using the most recent version to arrange a free consultation if other review! Website DESCRIPTION: 40 ILCS 4-110.1 disability pension-line of duty Sec awarded at 100 % of time. From Ch then go to the employee unless the employer agrees to make such payment of Section (... On FindLaw Workers ' Compensation Act provides the exclusive remedy or means by which an employee may against. Rating ( using the most recent version is a Preferred provider Program PPP... E ) of the time, each component is billed separately take a x-ray, example! And employee ] employment the modifier -AS to designate their assistance in a surgery View legal! 100 % of the this list is more extensive than that approved by CMS for ASTCs calculated a fee each. Appropriated for the purpose of making payments according to the on the list,!... ' Comp ; View all legal Topics this Act may be cited as the '... Component is billed separately or compensable unless agreed otherwise by the this list is more than. Paid at POC76/POC53.2 need a legal opinion, we calculated a fee for each.... The balance billing provision for employee injuries arising out of and in the course of time! Website DESCRIPTION: 40 ILCS 4-110.1 disability pension-line of duty Sec against an for... Employer agrees to make such payment agreed otherwise by the employee is responsible for payment services. 820 ILCS 305 Workers ' Compensation Act provides the exclusive remedy or means by which employee! ( e.g, implants ) approved by CMS for ASTCs %, POC76 was reduced to POC53.2 only areas!
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