Agencies | Governor
Virginia Regulatory Town Hall
Agency
Virginia Workers' Compensation Commission
Board
Virginia Workers' Compensation Commission
chapter
Electronic Medical Billing [16 VAC 30 ‑ 16]
This action is exempt from the executive branch review process.
Action:
Workers’ Compensation Electronic Medical Billing
 
General Information
Action Summary The purpose of the proposed regulation is to adopt and implement infrastructure under which (i) providers of workers’ compensation medical services (“providers”) shall submit their billing, claims, case management, health records and all supporting documentation electronically to employers or employers’ workers’ compensation insurance carriers (“payers”) and (ii) payers shall return actual payment, claim status , and remittance information electronically to providers that submit their billing and required supporting documentation electronically. The proposed regulation will establish standards and methods for such electronic submissions and transactions that are consistent with the electronic medical billing and payment guidelines of the International Association of Industrial Accident Boards and Commissions.
Chapters Affected Only affects this chapter.
Exempt from APA Yes, this chapter is exempt from Article II of the APA and executive branch review. The normal executive branch review process is not required.
RIS Project Yes  [004654]
Associated Mandates Workers' Compensation Electronic Medical Billing
New Periodic Review This action will not be used to conduct a new periodic review.
 
Stages
Stages associated with this regulatory action.
Stage ID Stage Type Status
7479 NOIRA Stage complete. Comment period ended 7/13/2016.
7963 Proposed Stage complete. Comment period ended 8/10/2018.
8463 Final Stage complete. This regulation became effective on 2/6/2019.
 
Contact Information
Name / Title: James J. Szablewicz  / Chief Deputy Commissioner
Address: Virginia Workers' Compensation Commission
333 E. Franklin Street
Richmond, VA 23219
Email Address: james.szablewicz@workcomp.virginia.gov
Phone: (804)205-3097    FAX: (804)823-6936    TDD: ()-

This person is the primary contact for this chapter.