§ 97-25 – Medical treatment and supplies.
97-25. Medical treatment and supplies. (a) Medical compensation shall be provided by the employer. (b) Upon the written request of the employee to the employer, the employer may agree to authorize and pay for a second opinion examination with a duly qualified physician licensed to practice in North Carolina, or licensed in another state if […]
§ 97-25.1 – Limitation of duration of medical compensation.
97-25.1. Limitation of duration of medical compensation. The right to medical compensation shall terminate two years after the employer’s last payment of medical or indemnity compensation unless, prior to the expiration of this period, either: (i) the employee files with the Commission an application for additional medical compensation which is thereafter approved by the Commission, […]
§ 97-25.2 – Managed care organizations.
97-25.2. Managed care organizations. The requirements of G.S. 97-25 may be satisfied by contracting with a managed care organization. Notwithstanding any other provision of this Article, if an employer or carrier contracts with a managed care organization for medical services pursuant to this Article, those employees who are covered by the contract with the managed […]
§ 97-25.3 – Preauthorization.
97-25.3. Preauthorization. (a) An insurer may require preauthorization for inpatient admission to a hospital, inpatient admission to a treatment center, and inpatient or outpatient surgery. The insurer’s preauthorization requirement must adhere to the following standards: (1) The insurer may require no more than 10 days advance notice of the inpatient admission or surgery. (2) The […]
§ 97-25.4 – Utilization guidelines for medical treatment.
97-25.4. Utilization guidelines for medical treatment. (a) The Commission may adopt utilization rules and guidelines, consistent with this Article, for medical care and medical rehabilitation services, other than those services provided by managed care organizations pursuant to G.S. 97-25.2, including, but not limited to, necessary palliative care, physical therapy treatment, psychological therapy, chiropractic services, medical […]
§ 97-25.5 – Utilization guidelines for vocational and other rehabilitation.
97-25.5. Utilization guidelines for vocational and other rehabilitation. The Commission may adopt utilization rules and guidelines, consistent with this Article, for vocational rehabilitation services and other types of rehabilitation services. In developing the rules and guidelines, the Commission may consider, among other factors, the practice and treatment guidelines adopted by professional rehabilitation associations and organizations. […]
§ 97-25.6 – Reasonable access to medical information.
97-25.6. Reasonable access to medical information. (a) Notwithstanding any provision of G.S. 8-53 to the contrary, and because discovery is limited pursuant to G.S. 97-80, it is the policy of this State to protect the employee’s right to a confidential physician-patient relationship while allowing the parties to have reasonable access to all relevant medical information, […]
§ 97-26 – Fees allowed for medical treatment; malpractice of physician.
97-26. Fees allowed for medical treatment; malpractice of physician. (a) Fee Schedule. – The Commission shall adopt by rule a schedule of maximum fees for medical compensation and shall periodically review the schedule and make revisions. The fees adopted by the Commission in its schedule shall be adequate to ensure that (i) injured workers are […]
§ 97-26.1 – Fees for medical records and reports; expert witnesses; communications with health care providers.
97-26.1. Fees for medical records and reports; expert witnesses; communications with health care providers. The Commission may establish maximum fees for the following when related to a claim under this Article: (i) the searching, handling, copying, and mailing of medical records, (ii) the preparation of medical reports and narratives, (iii) the presentation of expert testimony […]
§ 97-7 – State or subdivision and employees thereof.
97-7. State or subdivision and employees thereof. Neither the State nor any municipal corporation within the State, nor any political subdivision thereof, nor any employee of the State or of any such corporation or subdivision, shall have the right to reject the provisions of this Article relative to payment and acceptance of compensation, and G.S. […]