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In the Commonwealth of Pennsylvania, the regulations relating to Workers’ Compensation Acts 44 and 57 give medical providers and employer/insurers the opportunity to appeal adverse administrative determinations of applications for fee review by the Health Care Services Division of the Bureau of Workers’ Compensation to a fee review hearing officer. Seven workers’ compensation judges (WCJs), located in Philadelphia, Pittsburgh and Lancaster, were recently appointed in the summer of 2011, through the Bureau of Workers’ Compensation, to act as hearing officers. In June 2011, the bureau also issued a new form, entitled “Request for Hearing to Contest Fee Review Determination (LIBC-606),” in order to provide a process to appeal decisions of the bureau’s health care services division to these newly minted hearing officers. This change in procedure is very significant for practitioners. Whereas nonjudicial fee review officers and, at times, some WCJs previously adjudicated fee review disputes, now the advent of utilizing WCJs only to adjudicate these disputes significantly changes the game.

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