§ 413.011 Reimbursement Policies and Guidelines; Treatment Guidelines and Protocols
§ 413.0111 Processing Agents
§ 413.0112 Reimbursement of Federal Military Treatment Facility
§ 413.0115 Requirements for Certain Voluntary or Informal Networks
§ 413.012 Medical Policy and Guideline Updates Required
§ 413.013 Programs
§ 413.014 Preauthorization Requirements; Concurrent Review and Certification of Health Care
§ 413.0141 Initial Pharmaceutical Coverage
§ 413.015 Payment by Insurance Carriers; Audit and Review
§ 413.016 Payments in Violation of Medical Policies and Fee Guidelines
§ 413.017 Presumption of Reasonableness
§ 413.018 Review of Medical Care If Guidelines Exceeded
§ 413.019 Interest Earned for Delayed Payment, Refund, or Overpayment
§ 413.020 Division Charges
§ 413.021 Return-to-Work Coordination Services
§ 413.022 Return-to-Work Reimbursement Program for Employers; Fund
§ 413.023 Information to Employers
§ 413.024 Information to Employees
§ 413.025 Return-to-Work Goals and Assistance

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Terms Used In Texas Labor Code Chapter 413 > Subchapter B - Medical Services and Fees

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Board: means the Texas Medical Board. See Texas Occupations Code 151.002
  • Continuing threat to the public welfare: means a real danger to the health of a physician's patients or to the public from the acts or omissions of the physician caused through the physician's lack of competence, impaired status, or failure to care adequately for the physician's patients, as determined by:
    (A) the board;
    (B) a medical peer review committee in this state;
    (C) a physician licensed to practice medicine in this state or otherwise lawfully practicing medicine in this state;
    (D) a physician engaged in graduate medical education or training; or
    (E) a medical student. See Texas Occupations Code 151.002
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Person: means an individual, unless the term is expressly made applicable to a partnership, association, or corporation. See Texas Occupations Code 151.002
  • Physician: means a person licensed to practice medicine in this state. See Texas Occupations Code 151.002
  • Plea: In a criminal case, the defendant's statement pleading "guilty" or "not guilty" in answer to the charges, a declaration made in open court.
  • Rule: includes regulation. See Texas Government Code 311.005
  • Subpoena: A command to a witness to appear and give testimony.
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • United States: includes a department, bureau, or other agency of the United States of America. See Texas Government Code 311.005
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
  • Year: means 12 consecutive months. See Texas Government Code 311.005