Nevada Administrative Code
Chapter 616B - Industrial Insurance: Insurers; Liability for Provision of Coverage
ASSESSMENTS
Section 616B.707 - Consideration of expenditures as expenditures for claims; computation and reporting of value of clinical services
Universal Citation: NV Admin Code 616B.707
Current through December 12, 2024
1. The Division will consider expenditures for the following as expenditures for claims:
(a) A surgeon, assisting surgeon,
anesthesiologist or consulting physician.
(b) Charges by a hospital.
(c) Treatment by a physician or
chiropractor.
(d) X-ray films,
computerized axial tomography (CAT) scans, myelograms, magnetic resonance
imaging, and other diagnostic tests and procedures.
(e) Physical therapy.
(f) Prescribed drugs and medications,
eyeglasses, dental work, prostheses, orthotic devices and corrective shoes by
prescription.
(g) Travel to obtain
medical care or supplies.
(h) Any
other accident benefits.
(i)
Compensation for a permanent total, temporary total, permanent partial or
temporary partial disability.
(j)
Costs of vocational rehabilitation services for an injured employee.
(k) Death benefits.
(l) Burial expenses.
2. The Division will not consider the following expenditures to be expenditures for claims:
(a) Amounts held in reserve for any
anticipated expense in connection with a claim.
(b) Money paid in excess of the compensation
calculated pursuant to
NRS
616C.440,
616C.475,
616C.490 or
616C.500 or NAC
616C.577 for a temporary total,
temporary partial, permanent total or permanent partial disability or
vocational rehabilitation maintenance.
(c) Legal expenses, including, without
limitation, court costs, attorney's fees, costs for depositions, investigations
and hearings.
(d) Payment of an
award of interest.
(e) Payment of
claims in connection with the Uninsured Employers' Claim Account.
(f) Administrative expenses, including,
without limitation, expenses incurred for:
(1)
Copying records;
(2) Reviewing any
report of a physician or chiropractor contained in a file relating to a claim;
or
(3) Services relating to the
management of costs of medical care.
(g) Costs incurred in a claim that is
ultimately denied.
3. The value of clinical services furnished by an insurer for industrial injuries or illnesses must be computed and reported pursuant to the schedule of fees and charges for accident benefits adopted pursuant to subsection 2 of NRS 616C.260.
Added to NAC by Dep't of Industrial Relations, eff. 7-29-87; A 8-30-91; A by Div. of Industrial Relations, 3-28-94; R112-98, 12-18-98; R118-02, 9-7-2005
NRS 232.680, 616A.400
Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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