Texas Mutual Wins Fee Fight With Air Ambulance Co.

Law360, Houston (December 22, 2016, 8:36 PM EST) -- Texas Mutual Insurance Co. won its appeal of an order from the State Office of Administrative Hearings when a Texas state judge recently sided with it in a fee dispute with PHI Air Medical LLC over the cost of transporting patients covered by workers' compensation insurance.

Texas Mutual had petitioned the court in Austin for review in October, arguing that the order from an administrative law judge that it pay the air ambulance company 149 percent of the Medicare payment rate was a violation of the Texas Administrative Code, which requires a "fair and reasonable" payment.

PHI had argued that the...

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