reglab/housing_qa huggingface dataset:
TN Code § 50-6-126 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-126. Medical Director

 The administrator shall appoint a medical director who shall be the executive secretary and a nonvoting ex officio member of the medical committee. The medical director shall be appointed from a list of three (3) nominees submitted by the Tennessee Medical Association. If the administrator finds the list of three (3) nominees to be unsatisfactory, then the administrator shall return the list to the Tennessee Medical Association and the association shall submit another list of nominees. This process shall be repeated, if necessary, until the administrator selects a nominee to be medical director. The medical director may be a part-time employee, a full-time employee or a contract employee, and shall perform the following functions for which the medical director shall be responsible to the administrator or medical care and cost containment committee, as appropriate:   Institute administrative procedures that will enable the medical director to evaluate medical care to effect optimal treatment in workers' compensation cases;   Inquire into instances where the medical treatment or the physical rehabilitation provided appears to be deficient or incomplete and recommend corrective action when indicated;   Advise on the disposition of complaints of a physician's failure to furnish adequate medical care as required by this law or by rules and regulations adopted by the administrator, the disposition of complaints concerning other aspects of the medical management of a workers' compensation case or the failure to render required reports, and the disposition of complaints of any affected party as to unreasonable interference with the medical management of a workers' compensation case;   Gather data and maintain records necessary to fulfill the medical director's responsibilities;   Conduct studies and prepare and issue reports on the medical aspect of workers' compensation cases;   Expedite the submission and processing of medical reports necessary to the processing of claims;   Advise health care providers of their rights and responsibilities under this chapter and under any rules or regulations promulgated pursuant to this chapter;   Advise the medical care and cost containment committee as to the reasonableness of fees for medical services in particular cases; and   Undertake other functions that may be delegated to the medical director by the administrator.
TN Code § 50-6-126 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-126. Medical Director. [Applicable to Injuries Occurring Prior to July 1, 2014.]

 The commissioner shall appoint a medical director who shall be the executive secretary and a nonvoting ex officio member of the medical committee. The medical director shall be appointed from a list of three (3) nominees submitted by the Tennessee Medical Association. If the commissioner finds the list of three (3) nominees to be unsatisfactory, then the commissioner shall return the list to the Tennessee Medical Association and the association shall submit another list of nominees. This process shall be repeated, if necessary, until the commissioner selects a nominee to be medical director. The medical director may be a part-time employee, a full-time employee or a contract employee, and shall perform the following functions for which the medical director shall be responsible to the commissioner or medical care and cost containment committee, as appropriate:   Institute administrative procedures that will enable the medical director to evaluate medical care to effect optimal treatment in workers' compensation cases;   Inquire into instances where the medical treatment or the physical rehabilitation provided appears to be deficient or incomplete and recommend corrective action when indicated;   Advise on the disposition of complaints of a physician's failure to furnish adequate medical care as required by this law or by rules and regulations adopted by the administrator, the disposition of complaints concerning other aspects of the medical management of a workers' compensation case or the failure to render required reports, and the disposition of complaints of any affected party as to unreasonable interference with the medical management of a workers' compensation case;   Gather data and maintain records necessary to fulfill the medical director's responsibilities;   Conduct studies and prepare and issue reports on the medical aspect of workers' compensation cases;   Expedite the submission and processing of medical reports necessary to the processing of claims;   Advise health care providers of their rights and responsibilities under this chapter and under any rules or regulations promulgated pursuant to this chapter;   Advise the medical care and cost containment committee as to the reasonableness of fees for medical services in particular cases; and   Undertake other functions that may be delegated to the medical director by the administrator.
TN Code § 50-6-127 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-127. Public Awareness Program Concerning Workers' Compensation Fraud — Investigations and Referrals

  The administrator, in consultation with the commissioner of commerce and insurance and appropriate law enforcement officials, shall implement a public awareness program concerning workers' compensation fraud.   The bureau of workers' compensation shall investigate to determine whether any fraudulent conduct relating to workers' compensation is being practiced, and shall refer to an appropriate law enforcement agency any finding of fraud.
TN Code § 50-6-127 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-127. Public Awareness Program Concerning Workers' Compensation Fraud — Investigations and Referrals. [Applicable to Injuries Occurring Prior to July 1, 2014.]

  The commissioner, in consultation with the commissioner of commerce and insurance and appropriate law enforcement officials, shall implement a public awareness program concerning workers' compensation fraud.   The division of workers' compensation shall investigate to determine whether any fraudulent conduct relating to workers' compensation is being practiced, and shall refer to an appropriate law enforcement agency any finding of fraud.
TN Code § 50-6-128 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-128. Penalty for Employer Causing Compensable Claim to Be Paid by Health Insurance or Failing to Provide Necessary Medical Treatment

 If any employer knowingly, willfully, and intentionally causes a medical or wage loss claim to be paid under health or sickness and accident insurance, or fails to provide reasonable and necessary medical treatment, including a failure to reimburse when the employer knew that the claim arose out of a compensable work-related injury and should have been submitted under its workers' compensation insurance coverage, then a civil penalty of five hundred dollars ($500) shall be assessed against the employer, and the employer may not offset any sickness and accident income benefit paid to the employee against its temporary total disability benefit payment liability due to the employee pursuant to this chapter. The administrator of the bureau of workers' compensation has the authority to assess and collect the civil penalty.
TN Code § 50-6-128 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-128. Penalty for Employer Causing Compensable Claim to Be Paid by Health Insurance or Failing to Provide Necessary Medical Treatment. [Applicable to Injuries Occurring Prior to July 1, 2014.]

 If any employer knowingly, willfully, and intentionally causes a medical or wage loss claim to be paid under health or sickness and accident insurance, or fails to provide reasonable and necessary medical treatment, including a failure to reimburse when the employer knew that the claim arose out of a compensable work-related injury and should have been submitted under its workers' compensation insurance coverage, then a civil penalty of five hundred dollars ($500) shall be assessed against the employer, and the employer may not offset any sickness and accident income benefit paid to the employee against its temporary total disability benefit payment liability due to the employee pursuant to this chapter. The commissioner of labor and workforce development has the authority to assess and collect the civil penalty.
TN Code § 50-6-131 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-131. Confidentiality of Medical Records

 Medical records provided to the bureau of workers' compensation in the course of its activities and the review of settlements pursuant to this chapter shall remain confidential and shall not be considered to be public records.
TN Code § 50-6-131 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-131. Confidentiality of Medical Records. [Applicable to Injuries Occurring Prior to July 1, 2014.]

 Medical records provided to the division of workers' compensation in the course of its activities relative to benefit review conferences and the review of settlements pursuant to this chapter shall remain confidential and shall not be considered to be public records.
TN Code § 50-6-132 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-132. Report of Employers Who Fail to Provide Coverage

 No later than December 31 of each year, the bureau of workers' compensation shall produce a report that includes a listing of the name of each covered employer that failed, during the preceding state fiscal year, to provide workers' compensation coverage or qualify as a self-insured employer as required by law. Only those employers whose failure resulted in periods of non-coverage shall be included within the report. The report shall also include the penalty assessed by the bureau and the payment status of the penalty. The report shall be provided to the advisory council on workers' compensation and the chairs of the commerce and labor committee of the senate and the consumer and human resources committee of the house of representatives.
TN Code § 50-6-133 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-133. Continuing Education Programs on Workers' Compensation. [Applicable to Injuries Occurring Prior to July 1, 2014.]

 It is the duty of the administrative office of the courts, in consultation with the advisory council on workers' compensation, to develop and provide appropriate continuing education programs on topics related to workers' compensation at each annual meeting. The continuing education shall include both generalized applications of this chapter and the use of the AMA Guides. The program shall also address any specific variances in the application of this chapter throughout the state.
TN Code § 50-6-134 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-134. Annual Review

 The bureau shall, on or before July 1, 2015, and annually thereafter, review the impact of the Workers' Compensation Reform Act of 2013 on the workers' compensation system in this state and deliver a report of its findings to each member of the general assembly.
TN Code § 50-6-134 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-134. Annual Review. [Applicable to Injuries Occurring Prior to July 1, 2014.]

 The commissioner of commerce and insurance shall, on or before July 1, 2007, and annually thereafter through 2010, review the impact of Acts 2004, ch. 962 on premiums charged by insurers who provide workers' compensation coverage in this state. The commissioner of commerce and insurance is authorized to require the production of any information, documents, books or records from any person who is subject to regulation by the department that the commissioner deems necessary to implement this section.   The general assembly recognizes that significant cost savings will result from the implementation of this bill. It is in the best interest of the citizens of Tennessee that the cost savings be passed to the entities that have paid faithfully workers' compensation premiums in order to ensure the economic well-being of their employees. It is the intent and purpose of the general assembly that workers' compensation premiums be adjusted downward within fifteen (15) months of July 1, 2004, to reflect the cost savings resulting from the provisions of the act. If a workers' compensation policy is subject to renewal during the fifteen (15) month period, adjustments to the policy may be made at that time.   It is the intent of the general assembly that the savings of the act shall routinely be reflected in future filings through the advisory prospective loss cost filing system, pursuant to §§ 56-5-106(b) and 50-6-402. Nothing in this section shall be construed as amending or affecting the procedures for filing and approval of rates set forth in title 56, chapter 5.   Members of the committee shall serve without compensation but, when engaged in the conduct of their official duties as members of the committee, shall be entitled to reimbursement for travel expenses in accordance with uniform regulations promulgated by the department of finance and administration and approved by the attorney general and reporter.   Each member appointed shall serve a term of four (4) years and may be reappointed by the administrator. If a member leaves the position prior to the expiration of the term, the administrator shall appoint an individual meeting the qualifications of this section to serve the unexpired portion of the term. The individual may be reappointed by the administrator upon expiration of the term.
TN Code § 50-6-135 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 1 - General Provisions|§ 50-6-135. Medical Advisory Committee

 (1)  The administrator shall appoint a medical advisory committee comprised of practitioners in the medical community having experience in the treatment of workers' compensation injuries, representatives of the insurance industry, employer representatives, and employee representatives to assist the administrator in the development of treatment guidelines and advise the administrator on issues relating to medical care in the workers' compensation system.   The medical director shall serve as a nonvoting ex-officio member of the committee.   In making appointments, the administrator shall strive to achieve a geographic balance and, in the case of the physician members of the committee, shall assure, to the extent possible, that the membership of the committee reflects the diversity of specialties involved in the medical treatment and management of workers' compensation claimants.
TN Code § 50-6-201 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 2 - Claims and Payment of Compensation|§ 50-6-201. Notice of Injury

   Every injured employee or the injured employee's representative shall, immediately upon the occurrence of an injury, or as soon thereafter as is reasonable and practicable, give or cause to be given to the employer who has no actual notice, written notice of the injury, and the employee shall not be entitled to physician's fees or to any compensation that may have accrued under this chapter, from the date of the accident to the giving of notice, unless it can be shown that the employer had actual knowledge of the accident. No compensation shall be payable under this chapter, unless the written notice is given to the employer within fifteen (15) days after the occurrence of the accident, unless reasonable excuse for failure to give the notice is made to the satisfaction of the tribunal to which the claim for compensation may be presented.   The notice of the occurrence of an accident by the employee required to be given to the employer shall state in plain and simple language the name and address of the employee and the time, place, nature, and cause of the accident resulting in injury or death. The notice shall be signed by the claimant or by some person authorized to sign on the claimant's behalf, or by any one (1) or more of the claimant's dependents if the accident resulted in death to the employee.   No defect or inaccuracy in the notice shall be a bar to compensation, unless the employer can show, to the satisfaction of the workers' compensation judge before which the matter is pending, that the employer was prejudiced by the failure to give the proper notice, and then only to the extent of the prejudice.   The notice shall be given personally to the employer or to the employer's agent or agents having charge of the business at which the injury was sustained by the employee.     In those cases where the injuries occur as the result of gradual or cumulative events or trauma, then the injured employee or the injured employee's representative shall provide notice of the injury to the employer within fifteen (15) days after the employee:  Knows or reasonably should know that the employee has suffered a work-related injury that has resulted in permanent physical impairment; or   Is rendered unable to continue to perform the employee's normal work activities as the result of the work-related injury and the employee knows or reasonably should know that the injury was caused by work-related activities.     [Deleted by 2013 amendment, effective July 1, 2014.]
TN Code § 50-6-201 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 2 - Claims and Payment of Compensation|§ 50-6-201. Notice of Injury. [Applicable to Injuries Occurring Prior to July 1, 2014.]

  Every injured employee or the injured employee's representative shall, immediately upon the occurrence of an injury, or as soon thereafter as is reasonable and practicable, give or cause to be given to the employer who has no actual notice, written notice of the injury, and the employee shall not be entitled to physician's fees or to any compensation that may have accrued under this chapter, from the date of the accident to the giving of notice, unless it can be shown that the employer had actual knowledge of the accident. No compensation shall be payable under this chapter, unless the written notice is given the employer within thirty (30) days after the occurrence of the accident, unless reasonable excuse for failure to give the notice is made to the satisfaction of the tribunal to which the claim for compensation may be presented.   In those cases where the injuries occur as the result of gradual or cumulative events or trauma, then the injured employee or the injured employee's representative shall provide notice of the injury to the employer within thirty (30) days after the employee:  Knows or reasonably should know that the employee has suffered a work-related injury that has resulted in permanent physical impairment; or   Is rendered unable to continue to perform the employee's normal work activities as the result of the work-related injury and the employee knows or reasonably should know that the injury was caused by work-related activities.     Within thirty (30) calendar days of the notice of injury, the insurer, employer, or self-insured pool or trust shall file with the department, on a form prescribed by the department, a wage statement detailing the employee's wages for the previous fifty-two (52) weeks, unless the employer stipulates that the maximum weekly workers' compensation rate applies in the particular matter. In the event the insurer, employer, or self-insured pool or trust knowingly and intentionally fails to timely file the wage statement, a workers' compensation specialist may deem the employee's compensation rate to be the maximum workers' compensation rate effective on the date of injury. This subsection (c) shall apply only to accidents that result in death or personal injury of such a nature that the injured person either does not return to the person's employment within seven (7) days after the occurrence of the accident or has a permanent impairment resulting from the accident. If the employer, insurer or self-insured pool fails to file the wage statement within thirty (30) days and the maximum rate is imposed, then the employer, insurer or self-insured pool may file a wage statement at a later time. If the late filed wage statement reflects that the compensation rate is less than the maximum compensation rate, the employer, insurer or self-insured pool may then reduce the compensation rate.
TN Code § 50-6-202 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 2 - Claims and Payment of Compensation|§ 50-6-202. Electronic Submission and Processing of Medical Bills

  On or after July 1, 2014, the administrator, in cooperation with the commissioner of commerce and insurance, shall adopt rules regarding the electronic submission and processing of medical bills by health care providers to insurance carriers.   Insurance carriers shall accept medical bills submitted electronically by health care providers in accordance with the administrator's rules.   The administrator shall establish by rule the criteria for granting exceptions to insurance carriers and health care providers who are unable to submit or accept medical bills electronically.
TN Code § 50-6-202 (2021)
2021 Tennessee Code|Title 50 - Employer and Employee|Chapter 6 - Workers' Compensation Law|Part 2 - Claims and Payment of Compensation|§ 50-6-202. Contents and Service of Notice. [Applicable to Injuries Occurring Prior to July 1, 2014.]

   The notice required to be given of the occurrence of an accident to the employer shall state in plain and simple language the name and address of the employee, the time, place, and nature and cause of the accident resulting in injury or death, and shall be signed by the claimant or by some person on the claimant's behalf, or by any one (1) or more of the claimant's dependents if the accident resulted in death to the employee.   No defect or inaccuracy in the notice shall be a bar to compensation, unless the employer can show to the satisfaction of the tribunal in which the matter is pending that the employer was prejudiced by the failure to give the proper notice, and then only to the extent of the prejudice.     The notice shall be given personally to the employer or to the employer's agent or agents having charge of the business in working at which the injury was sustained by the employee.