Workers Comp » 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
Comparison of the states workers compensation fee schedules in reducing WC medical costs
Information on how to order (fees) the fee schedules - not online
A chart of state WC laws that affect attorney fees for claimants
For ambulance fees, inpatient, outpatient, laboratory, pharmaceuticals and physician services
Describes the various legal avenues available for reducing medical charges in WC
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
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
Ordering information is provided (fees) - not online
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
Access the medical fee schedule and obtain the conversion factors
Answers common questions related to medical fee schedules in Mississippi
Download hospital addendum & medical fee schedule updates (not the entire schedule)
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 rule - does not include the maximum allowable payments (MAP) fee schedule
Ordering instructions (not online) - also called the New Mexico Workers Compensation Medical Fee Schedule
Download updates to the medical fee schedules for the state of Nevada
Inpatient & Outpatient Medical, Pharmacy, Durable Medical Goods and Equipment, Medicaid Pharmacy Formulary Files
Text of the WC fee schedule for the State of Oklahoma
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
Text of the Hospital and Ambulatory Surgical Center Payment Manual
Access to the rules and medical fee schedule for workers compensation in SD
Explains the Medicare-based system with multiple conversion factors
Medical fee guideline rules, advisories, training module, general information
Hospital Fee Guidelines, Medical Fee Guidelines, Ambulatory Surgical Center Fee Guidelines
Contains the department’s rules, payment policies and CPT & HCPCS fee schedules
Download the fee schedules
Wyoming WC rules and regulations and reimbursement rates related to Fee Schedules
Related Categories within rmLibrary
View All Related Categories throughout the Libraries & Directories
Workers Comp / Managed Care
Guidance on managed care in workers compensation to control medical costs
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