Current through Register Vol. XLI, No. 40, October 4, 2024
Section 85-28-2 - Definitions As used in this rule, the following terms, words, and phrases have the meaning stated unless in any instance where such term, word, or phrase is employed and the context expressly indicates that another meaning is intended.
2.1. "Agent" means a private company retained by the Commission to audit, identify and collect medical vendor overpayments.2.2. "Act" means the workers' compensation laws of the State of West Virginia that are codified at chapter twenty-three of the Code of West Virginia.2.3. "Hearing Officer" refers to an objective trier of fact who will be conducting a de novo administrative hearing in health care vendor issues arising between the Workers' Compensation Commission and a registered health care vendor.2.4. "Code of West Virginia" and "West Virginia Code" means the West Virginia Code of 1931 as amended.2.5. "Executive Director" means the Executive Director of the West Virginia Workers' Compensation Commission as provided pursuant to the provisions of W. Va. Code § 23-1-1b.2.6. "Commission" means the West Virginia Workers' Compensation Commission as provided for by W. Va. Code § 23-1-1, et seq.2.7. "Health Care Vendor" or "Health Care Provider" refers to health care providers, including providers of rehabilitation services within the meaning of W. Va. Code § 23-4-9, both in- and out-of-state who have signed provider agreements with West Virginia Workers' Compensation Commission to provide health care to injured workers.2.8. "Office of Judges" refers to the Office of Judges, as set forth in W. Va. Code § 23-5-8.2.9. "This rule" means the present exempt legislative rule that is designated in the caption here as title 85, series 28.