Risk Mgt, Claims & Ins
Claims Management
WC Fee Schedules
State mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere. A few states (such as Tennessee) base their computation of WC fee schedules on Medicare rates which are available in our library in the Managed Care - Medical Costs section under Medicare Payment Systems. You must conduct the calculations yourself. They are not provided for you. The following states allow payment of Workers' Compensation claims at usual and customary rates: District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin
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[31666] 
Comparison of the states workers compensation fee schedules in reducing WC medical costs
[39664] Extended to June 30, 2011 (no access to fee tables)
[30017] A chart of state WC laws that affect attorney fees for claimants
For ambulance fees, inpatient, outpatient, laboratory, pharmaceuticals and physician services
The text of Rule 18 which contains the Medical Fee Schedule for WC in Colorado
Ordering information only (fees) - not online
Contains the official Delaware Office of Workers’ Compensation Health Care fee schedule
Reimbursement policies and maximum reimbursable allowances by CPT code
GA-Georgia Workers Compensation Medical Fee Schedule [27191] Ordering information only (fees) - not online
The WC medical fee schedule for the state of Hawaii
The text of the fee schedules as well as the rules and regulations governing them
ID-Idaho WC Medical Fee Schedule Rules [29170] Applicable to all workers compensation medical services provided on or after March 29, 2010
[23187] Full text of the fee schedule
Contains the CPT numeric identifying codes and modifier for reporting medical services and procedures
Fee schedules for workers compensation in MA
Maryland Specific Conversion Factor (MSCF) and Percentage Multiplier information
Access the medical fee schedule and obtain the conversion factors
FAQs and access to historical schedules - current schedule requires (fees)
MT-Montana Facility WC Fee Schedule [39845] Applies to all services and procedures provided in a facility on or after December 1, 2008
MT-Montana Nonfacility WC Fee Schedule [39846] Applies to all services and procedures provided in a facility on or after December 1, 2008
Fee schedules to reimburse non-hospital providers &discount factors used for reimbursing hospitals
Access to the medical fee schedule for WC in North Carolina
Download North Dakota's WC medical fee schedules
Medical Services Fee Schedule, Hospital & Ambulatory Surgery, Implantable Medical Device, DRG Inpatient Hospital Fees
Text of the workers compensastion fee schedule for New Mexico
Inpatient & Outpatient Medical, Dental, Pharmacy, Durable Medical Goods and Equipment, Medicaid Pharmacy Formulary Files
Current and historical fee schedules for workers compensation
Text of the WC fee schedule for the State of Oklahoma
Apply these ratios to hospital inpatient and outpatient services
Full text of the rules related to Oregon Medical Fee Schedules
Applies to FECA, EEOIC and LHWCA; a modified version is used for the FBLBA
The major users for this list are those who reprice medical bills to the workers' compensation fee schedule
Workers' Compensation Fee Schedule for Part A (Tables A through H) and Part B medical providers
Infoirmation about the fee schedules - Medical Services Provider Manual must be purchased (fees)
SD-South Dakota WC Physicians Fee Schedule [23216] Access to the rules and medical fee schedule for workers compensation in SD
[27504] Explains the Medicare-based system with multiple conversion factors
Hospital Fee Guidelines, Medical Fee Guidelines, Ambulatory Surgical Center Fee Guidelines
There is no fee schedule in Virginia
WA-Washington WC Fee Schedules [5302] Contains department rules, payment policies and CPT & HCPCS fee schedules
Medical reimbursement, legislation and rules
[23226] Wyoming WC rules and regulations and reimbursement rates related to Fee Schedules
Related Categories & Information
- rmis.com rmLibrary : Related Categories (1)
Claims Management / WC Managed Care
Guidance on managed care in workers compensation to control medical costs
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