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

OPINION BY

Judge PELLEGRINI.

Jeffrey Yablon, M.D. and Vincent Fer-rara, M.D. (collectively, Providers) appeal the Bureau of Workers’ Compensation Fee Review Hearing Office’s (Hearing Officer) determination that PMA (Insurer), a workers’ compensation insurer, did not lose the right to “downcode” charges because more than 30 days had passed after their bill had been submitted. For the reasons that follow, we affirm.

This case stems from vertebral axial decompression (VAX-D) treatment provided by Providers to two workers’ compensation claimants. Both Providers billed the VAX-D treatment using CPT…