Ohio Revised Code Search

...ly and in full detail the order upon which a hearing is desired and every reason why the order is unreasonable or unlawful, and every issue to be considered by the bureau on the hearing. The petitioner shall be deemed to have finally waived all objection to any irregularities and illegalities in the order upon which a hearing is sought other than those set forth in the petition. All hearings of the bureau shall be op...

...No action, proceeding, or suit to set aside, vacate, or amend any order of the bureau of workers' compensation, or to enjoin the enforcement thereof, shall be brought unless the plaintiff has applied to the bureau for a hearing thereon at the time and as provided in section 4121.23 of the Revised Code and in the petition therefor has raised every issue raised in the action. Every order of the bureau is, in every pro...

...pensation may commence an action in the supreme court, against the bureau as defendant, to set aside, vacate, or amend any order on the ground that the order is unreasonable or unlawful and the supreme court has exclusive jurisdiction to hear and determine the action. The bureau shall be served with summons as in other civil cases. The answer of the bureau shall be filed within ten days after service of summons upon...

...transmission and may thereafter grant such further stay as is necessary. Upon the receipt of the statement the bureau shall consider the issues not theretofore considered, and may alter, modify, amend, or rescind its order complained of in the action, and shall report its order thereon to the court within ten days from the receipt of the statement from the court for further hearing and consideration. The court shal...

...No court of this state, except the supreme court to the extent specified by sections 4101.01 to 4101.16 and 4121.01 to 4121.29 of the Revised Code has jurisdiction to review, vacate, set aside, reverse, revise, correct, amend, or annul any order of the bureau of workers' compensation, or to suspend or delay the execution or operation thereof or to enjoin, restrain, or interfere with the bureau in the performance of i...

...t during the pendency of the action the supreme court may stay or suspend, in whole or in part, the operation of the bureau's order. No order so staying or suspending an order of the bureau shall be made by the supreme court otherwise than upon three days' notice and after hearing. In case the order is stayed or suspended the order of the supreme court shall not become effective until a suspending bond has first bee...

...de and all actions or proceedings to which the bureau of workers' compensation or the state is a party, and in which any question arises under such sections, or under or concerning any order of the bureau, shall be preferred over all other civil cases, except election causes and causes involving or affecting the public utilities commission, irrespective of position on the calendar. The same preference shall be grante...

...ion shall be adopted in accordance with Chapter 119. of the Revised Code, except that determinations of the bureau, district hearing officers, staff hearing officers, and the commission, with respect to an individual employee's claim to participate in the state insurance fund are governed only by Chapter 4123. of the Revised Code. The administrator of workers' compensation and commission shall proceed jointly...

...to complete and sign medical reports to support payment or nonpayment of disability, except that, in the case of a medical report completed by a certified nurse-midwife, clinical nurse specialist, or certified nurse practitioner that supports disability compensation for the time period that begins six weeks after the date of injury, the report shall be reviewed, approved, and signed by a physician. (B) As used in t...

...edural steps in detail for performing each of the assigned tasks of each section of the bureau of workers' compensation and commission. The administrator and commission jointly shall adopt such manuals. No employee may deviate from manual procedures without authorization of the section chief. (B) Manuals shall set forth the procedure for the assignment and transfer of claims within sections and be designed to prov...

...her contested claims matters under this chapter and Chapters 4123., 4127., and 4131. of the Revised Code, except those matters over which staff hearing officers have original jurisdiction. (C) The administrator of workers' compensation shall make available to each district hearing officer the facilities and assistance of bureau employees and furnish all information necessary to the performance of the district hearin...

...ficers are full-time employees of the industrial commission and shall be admitted to the practice of law in this state. Staff hearing officers shall not engage in any other activity that interferes with their full-time employment by the commission during normal working hours. (B) Except as provided in division (D) of this section, staff hearing officers have original jurisdiction to hear and decide the follow...

...nd to present evidence and arguments in support of their positions or in rebuttal to the evidence or arguments of other parties; (2) A public hearing; (3) Written decisions; (4) Impartial assignment of staff and district hearing officers and assignment of appeals from a decision of the administrator of workers' compensation to a district hearing officer located at the commission service office that is the close...

...the bureau of workers' compensation, which is hereby created. The administrator, with the advice and consent of the board, shall pay into the safety and hygiene fund, which is hereby created in the state treasury, the portion of the contributions paid by employers, calculated as though all employers paid premiums based upon payroll, not to exceed one per cent thereof in any year, as is necessary for the payment of t...

...a policy manual as to the basis upon which referrals to other than commission specialists will be made; (5) Designate two hearing examiners and two medical staff members who shall be specially trained in medical-legal analysis. The specialists shall write evaluations of medical-legal problems upon assignment by other hearing examiners or the commission. The director of administrative services upon commission advice...

...s; (C) Make payment on orders of the industrial commission and district and staff hearing officers as provided in section 4123.511 of the Revised Code; (D) Serve as representative of the state insurance fund; (E) Establish a legal section within the bureau to provide legal advice and assistance to the administrator and the administrator's staff as to claims procedure and policy; appeals to be lodged on behalf of t...

... shall appoint a service director for each service office who shall have all of the following duties: (1) Provide each claimant and employer fair, impartial, and equal treatment; (2) Recommend any needed improvements for changes in staff size and accessibility to service offices; (3) Recommend to the administrator appropriate action concerning any allegations of misconduct, abuse of authority, or fraud committed i...

...their rights and responsibilities under Chapter 4123. of the Revised Code and as part of that program prepare and distribute pamphlets, which clearly and simply explain at least all of the following: (1) The rights and responsibilities of claimants and employers; (2) The procedures for processing claims; (3) The procedure for fulfilling employer responsibility; (4) All applicable statutes of limitation; (5)...

... bureau designates. (C) Personnel of each administrative section of the bureau and the commission shall receive training programs adequate to ensure all of the following: (1) Familiarity with section duties and policy; (2) Familiarity with duties and policy of sections which directly relate to their section; (3) Continuous updating of policy and techniques for accomplishing section duties.

...ments are accompanied by information which clearly indicates the source of payment, type of payment, method of computation, inclusive days of payment, reason for changes in payment, and telephone number or address for inquiries; (B) Adopt rules to govern the method of issuing and delivering checks, including time limits for issuance of checks; (C) Set standards and inform claimant of procedure for attorney or oth...

...ave the attendant computer system which supports such activity and measures the outcomes and the savings. (10) Management experience and flexibility to be able to react quickly to the needs of the bureau in the case of required change in federal or state requirements. (G)(1) The administrator may decertify a managed care organization if the managed care organization does any of the following: (a) Fails to maintain...

...pital, and rehabilitation services and supplies to an employee for an injury or occupational disease that is compensable under this chapter or Chapter 4123., 4127., or 4131. of the Revised Code, and to regulate contracts with managed care organizations pursuant to this chapter. (1) The rules shall include, but are not limited to, the following: (a) Procedures for the resolution of medical disputes between a...

... disease that is compensable under this chapter or Chapter 4123., 4127., or 4131. of the Revised Code. In adopting the standards, the administrator shall use nationally recognized accreditation standards. The standards the administrator adopts must provide that a qualified plan provides for all of the following: (1) Criteria for selective contracting of health care providers; (2) Adequate plan structure and financi...

...days after completion of its hearing. A failure to issue the order within the seventy-five-day time period shall result in dissolution of the summary suspension order but shall not invalidate any subsequent, final adjudication order. (G) As used in this section, "provider" does not include a hospital.

... the Revised Code or any other criminal offense related to the delivery of or billing for health care benefits. (b) There exists an entry of judgment against the person, health care provider, managed care organization, or its owner, or an officer, authorized agent, associate, manager, or employee of a person, provider, or organization and proof of the specific intent of the person, health care provider, managed care...