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TWCC Advisories from Past Years


2004 Advisories

No.

Posted

Subject

2004-13 12/23/2004 Revision of the TWCC-68 and TWCC-70
2004-12 11/23/2004 Revision of the TWCC-41 and TWCC-42
2004-11 10/1/2004 New Form TWCC-150, Notice of Representation or Withdrawal of Representation
2004-10 9/3/2004 TWCC Change of Primary Mailing Address to Central Office Effective October 15, 2004
2004-09 9/3/2004 TWCC Forms Redesign Initiative
2004-08 8/26/2004 Revision of the TWCC-67 and TWCC-68
2004-07 5/24/2004 Plain Language Notices - Rule 124.2
2004-06 5/13/2004 Billing for Commission Specific Services, CPT Codes and Modifiers Including Return to Work and Evaluation of Medical Care Examinations
2004-05 5/4/2004 Submission of Proof of Coverage (Self-Insured Governmental Entities)
2004-04 5/4/2004 Implementation of Amended Pharmacy Rules 134.503 and 134.504
2004-03 4/19/2004 Withdrawn
2004-02 3/30/2004 Third Party Litigation (Subrogation) Claim Processing
2004-01 3/29/2004 Billing and Reimbursement for Maximum Medical Improvement (MMI) and Impairment Rating (IR) Services

 

2003 Advisories

No.

Posted

Subject

2003-10b 2/25/2004 Use of the 4th Edition AMA Guides Regarding: Evaluation of Range of Motion Deficits in the Extremities; Assignment of Impairment Rating for Spinal Fusion(s); Use of Cross-Index Grid for the Lower Extremity as a Teaching Tool; and Impairment Rating Based on Condition at Maximum Medical Improvement (MMI).
2003-22 12/19/03 Preauthorization Requirements for CARF Accredited WH/WC Programs
2003-21 12/12/03 Medical Fee Disputes Involving Pharmacies and Usual and Customary Charges
2003-20 11/07/03 Status of Doctors Providing Health Care to Old Law Claimants
2003-16b 10/06/03 Update to Advisory 2003-16 and release of TWCC-75 - NON-ADL Doctor Request for Case-By-Case Exception
2003-19 08/29/03 Insured Names in Proof of Coverage Reporting (Commercial Carriers)
2003-18 08/29/03 Approved Doctor List (ADL) and Preauthorized Services
2003-17 08/19/03 Revision of TWCC-67 and TWCC-62
2003-16 08/19/03 The Non ADL Doctor - Exceptions - Patient Transfers
2003-15 08/19/03 Emergency and Immediate Post-Injury Medical Care
2003-14 08/15/03 TWCC Central Office is Relocating
2003-13 08/15/03 Coordination of ADL, Preauthorization, and MFG (CMS payment policies)
2003-12 07/25/03 Reimbursements Involving Non-Approved Doctor List (ADL) Doctors
2003-11 07/25/03 Medical Fee Guideline, 28 TAC §134.202
2003-10 07/25/03 Use of the 4th Edition AMA Guides Regarding: Evaluation of Range of Motion Deficits in the Extremities; Assignment of Impairment Rating for Spinal Fusion(s); Use of Cross-Index Grid for the Lower Extremity as a Teaching Tool; and Impairment Rating Based on Condition at Maximum Medical Improvement (MMI)
2003-09 07/14/03 Determining Fair and Reasonable Reimbursement for Ambulatory Surgical Center Care
2003-08 07/07/03 Workers' Compensation Medical Dispute Resolution
2003-07 05/23/03 Modified TWCC-32 - Request for Designated Doctor Form
2003-06 05/19/03 Foreign Asset Control Regulations and the Insurance Industry
2003-05 05/08/03 Clarification on the HIPAA Privacy Rule and Disclosures to the Texas Workers' Compensation Commission, effective May 6, 2003
2003-04 03/12/03 Implementation of the TXCOMP Online Health Care Provider Management System
2003-03 03/12/03 Approved Doctor List Training and Application Requirements
2003-02 01/21/03 Texas Workers' Compensation Commission Extension of the Exemption from Preauthorization and Concurrent Review for Work Hardening and/or Work Conditioning Program(s) Accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).
2003-01 01/21/03 Voluntary Certification of Health Care and Advisory 98-06

 

2002 Advisories

2002-17 New Form TWCC-66a, Statement for Pharmacy Services Dated 01/01/03
2002-16 Processing of Medical Bills When There Has Been Other Report of Injury
2002-15 Status of Downs Decision - Final Update
2002-14 Proposed Amendments to §134.502 concerning Pharmaceutical Services
2002-13 Impairment Ratings for Employees Who Received
Intra Discal Electro Thermal Treatment (IDET)
2002-12 Patient Advocates of Texas v. Texas Workers' Compensation Commission,
Cause No. 03-01-00215-CV
2002-11 "T" Exception Code on TWCC-62 Form
Rule 133.1(a)(12) - Payment exception codes for reducing or denying payment on a bill
2002-10 New Wage Statements:
Employers's Wage Statement - TWCC-3
Employer's Wage Statement for School Districts - TWCC-3SD
Employer's Multiple Employment Wage Statement - TWCC-3ME
2002-09 Revised TWCC-67 and TWCC-68 Medical Bill Instruction Forms
2002-08 Status of Downs Decision - Update #2
2002-07 Electronic Submission of Proof of Coverage (Commercial Carriers)
2002-07B Electronic Submission of Proof of Coverage (Commercial Carriers)
2002-06B Implementation of Pharmacy Rules
2002-06 Implementation of Pharmacy Rules
2002-05 Modified TWCC-32 - Request for Designated Doctor Form
2002-04 Status on Fulton Decision
2002-03B Medical Fee Dispute Resolution - Identification of Health Care Provider
2002-03 Medical Fee Dispute Resolution - Medical Signatures
2002-02 Carrier Failure to Timely Respond to a Request for Preauthorization, Concurrent Review OR Reconsideration is Considered a Denial and also Subjects the Carrier to Enforcement Action
2002-01 Changes to Process for Requesting a Required Medical Examination-
New TWCC-22 - Required Medical Examination Notice or Request for Order

 

2001 Advisories

2001-14 Clarification for the Transition to Amended §134.600 Concerning Preauthorization, Concurrent Review and Voluntary Certification of Health Care, Effective January 1, 2002
2001-13 Changes to Certifying Maximum Medical Improvement and Evaluating Permanent Impairment - New TWCC-69 - Report of Medical Evaluation
2001-12 Changes to Process for Requesting a Designated Doctor - New TWCC-32 -Request for Designated Doctor Form
2001-11 Texas Workers' Compensation Commission Approval for the Exemption from Preauthorization and Concurrent Review for Facilities Accredited for Work Hardening or Work Conditioning Programs by the Commission on Accreditation of Rehabilitation Facilities (CARF).
2001-10 Employer's Wage Statement For School Districts - TWCC-3-SD Interim Form
2001-09 Notice of New Form (TWCC-151, Attorney Online Application Form)
2001-08 Change to Fourth Edition of the Guides to the Evaluation of Permanent Impairment, Published by the American Medical Association, and TWCC Form-69
2001-07 Standard Industrial Classification Codes (SIC Codes) and North American Industrial Classification System Codes (NAICS Codes)
2001-06 House Bill 2600 Provisions That Became Effective June 17, 2001
2001-05 Status of Fulton Decision
2001-04 Prospective Review of Intra Discal Electro Thermal Treatment (IDET)
2001-03B Preauthorization Process and Access to Medical Dispute Resolution Addendum
2001-03 Preauthorization Process and Access to Medical Dispute Resolution
2001-02 Status of Downs Decision - Update #1
2001-01 Notice of Revised Form
TWCC-53, Employee's Request to Change Treating Doctor

 

2000 Advisories

2000-09 Notice of New and Revised Forms
2000-08 Supplement to Advisory 99-04, Notice of New Form TWCC-34, Notice of Intent (REVISED) Use of TWCC-34
2000-07 Status of Downs Decision
2000-06 Update to Commission Changes in Medical Dispute Resolution Process
2000-05B Revised Forms Effective Date
2000-05 Notice of Forms Revision
2000-04* Electronic Reporting Compliance
2000-03 Adoption of Amendments to Rule 129.5 and Issuance of New TWCC-73 Work Status Report Form
2000-02 Commission to Change Medical Dispute Resolution Process
2000-01B Correction of Error
2000-01 Supplement to Advisory 99-05, Notice of New Form (TWCC-73, Work Status Report (REVISED)

 

1999 Advisories

99-05 Notice of New Form TWCC-73, Work Status Report
99-04 New Rule 126.7 and TWCC-34, Notice of Intent
99-03 Revised Form TWCC-42, Notice of Fatal Injury or Occupational Disease and Claim for Compensation for Death Benefits
99-02 Notification of New TWCC-52, Application for Supplmental Income Benefits
99-01 Notice of Form Revision and Fee Requirement

 

1998 Advisories

98-07 Notification of New Acceleration and Advance Forms
98-06 Confirmation of Medical Benefits Coverage
98-05 Notification of Expiration of 401 Weeks
98-04 Notice of Rule 133.101 Amendment
98-03 Documentation and Medical Bill Review
98-02 Subsequent (TWCC-21) Reporting via Electronic Data Interchange (EDI)
98-01 Medical Dispute Resolution Requests Related to Invalidation of 1992 Acute Care Inpatient Hospital Fee Guideline

 

1997 Advisories

97-11 Notification of New Required Medical Examination Notice or Request for Order Form
97-10 Notice of Form Revision
97-09 Medical Bill Information From Carriers to the Commission
97-08 TWCC Notice 9
97-07 Notification of New Statement of Employment Status
(Employee's Application for Supplemental Income Benefits)
97-06 Notice of Form Adoption
97-05 Clarification of Advisory 96-16
97-04 Clarification of Electronic Submission of UB-92 Medical Bill Information from Insurance Carriers to the Commission
97-03 First Report of Injury Filing Requirements - Electronic Filing Compliance
97-02 Disability Disputes: Clarification of Advisory 96-05
97-01 Texas Workers' Compensation Commission Medical Fee Guideline 1996, 28 TAC Section 134.201

 

1996 Advisories

96-17 Manipulations and Preauthorization
96-16 Wage Statements, Fringe Benefits, Average Weekly Wage, and the Calculation of Compensation Rates
96-15 Reporting Occupational Diseases
96-14 Notification of MMI/Impairment Rating Disputes
96-13 OSHCON Consultation to Satisfy Service Requirement for Provision of Other Appropriate Services
96-12 Filing of Agreements or Settlements with the Commission
96-11 Administrative Violation for Failing to Timely Respond to a Request for Preauthorization
96-10 TWCC Participation in Hearings Regarding Preauthorization Disputes
96-09 Enforcement Efforts Relating to Failure to Timely File TWCC-69 Forms.
96-08 Enforcement of Health Care Provider Administrative Violations and Penalties
96-07 Preauthorization of Hospitalization for Spinal Surgery
96-06 Clarification of TWCC Advisory 96-03
96-05 Submission of Improper TWCC-21s
96-04 Electronic Submission of Medical bills from Providers to Insurance Carriers
96-03 Employee Rights and Responsibilities Form
96-02 Applications to Change Benefit Payment Periods and/or to Purchase an Annuity
96-01 Carrier Request for Required Medical Examinations

 

1995 Advisories

95-09 Claim Payment Escrow Account Depletion - Failure to Pay Benefits in Accordance with the Code
95-08 Charges for Medical Dispute Resolution
95-07 Accident Prevention Services, Chapter 166 Rules
95-06 Statutory Change Affecting CARRIER's First Report of Injury
95-05 Statutory Change Affecting EMPLOYER's First Report of Injury
95-04 Compliance & Practices Self-Audit Training and Fee
95-03 Clarification of Rule 134.1(e)
95-02B Clarification of Use of Forms UB-82/UB-92
95-02 Clarification of Use of Forms UB-82/UB-92
95-01 New Forms TWCC-153 and TWCC-155; Confidential Claim File Information Requests by Legal Representatives

 

1994 Advisories

94-10 Statutory Requirements for Court Settlements and Agreed Judgements
94-09 Guidelines for Legal Services Provided to Claimants and Carriers
94-08 Notification to Employees Regarding Impairment Income Benefits
94-07 Reminder Regarding Temporary Licensure by Board of Medical Examiners
94-06 Improper Benefit Review Conference Agreements
94-05 Enforcement of the Act
94-04 Non-Compliant filing of Notices of Insurance Coverage-TWCC 20
94-03 Electronic Submission of Claim Data
94-02 Communications with Commission Designated Doctor
94-01 Commission Review of Commuted Impairment Income Benefits

 

1993 Advisories

93-11 Modification of Commission Operations Concerning Delivery of Documents
93-10 Medical Records Release Forms used by Carriers
93-09 Instructions for Adjustment to Average Weekly Wage for Seasonal Employees During the Temporary Income Benefit Period
93-08 Fee Guidelines Reimbursement
93-07 Interest/Discount Rates Applicable to Commission Orders for Income Benefits
93-06 Written Notice of Injury and Initiation of Temporary Income Benefits or Notice of Dispute
93-05 Electronic Submission of Medical Bills
93-04 Evaluation of Maximum Medical Improvement and Impairment by Doctors
93-03 Maximum Medical Improvement, Accrual Date
93-02 Request for Submission of TWCC-1 by Carrier 
93-01 Statutory Maximum Medical Improvement at 104 Weeks

 

1992 Advisories

92-09B Reimbursement for manipulation Under Anesthesia (MUA) Chiropractic First Assistant
92-09 Reimbursement for Manipulation Under Anesthesia (MUA) Chiropractic First Assistant
92-08 Electronic Submission of TWCC-67 (HCFA-1500) and TWCC-68 (UB-82)
92-07 Modification of Commission Operations Concerning Delivery of Documents
92-06 Carrier's Master Business Identification Number on Medical Bills
92-05B Withdrawal of TWCC Advisory 92-05
92-05 Maximum Medical Improvement/Termination of Benefits
92-04 Payment of Back Injury Prevention Pilot Program Training Providers
92-03 Submission of Medical Bills
92-02C Administrative Violation Notices Issued to Insurance Carrier
92-02B Administrative Violation Notices Issued to Insurance Carrier
92-02 Administrative Violation Notices Issued to Insurance Carriers
92-01 Payment of Orders for Attorneys Fees, Rule 152.3