Allen v. Bureau of Workers' Compensation Fee Review Hearing Office

OPINION BY

Judge McGINLEY.

Mark T. Allen, M.D. (Dr. Allen) petitions for review from the order of the Department of Labor and Industry, Bureau of Workers’ Compensation, Fee Review Hearing Office (Office) which denied the payment of bills Dr. Allen submitted for fee review.

Dr. Allen through his billing agent, Craig Rosen (Rosen), billed Kemper Insurance (Kemper) for vertebral axial decompression treatments (VAX-D)1 treatments for Oliver Nestor on March 2, 7-9, 12, and 15-16, 2001. Rosen assigned Code 97799, a miscellaneous billing code, for the VAX-D treatments because Medicare lacks a specific…