State ex rel. Cuyahoga County Hospital v. Ohio Bureau of Workers' Compensation

The statute relevant to this controversy, R.C. 4121.44, reads in pertinent part:

“The administrator of the bureau of workers’ compensation shall adopt rules to ensure that the following requirements are met with respect to any payments made to health care providers for a claim pursuant to Chapter 4123 of the Revised Code:

“(A) Require prior authorization as a condition of payment for hospitalization or nursing services except in the case of emergencies or for good cause shown[1];

“(B) Determine appropriateness of drug charges and doctor bills;

“(C) Hospital billing, payment procedures, and forms…