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Illinois Medical Fee Schedule FAQ and Guidelines 2010

The Illinois Workers Compensation Medical Fee Schedule has been supplemented with answers to FAQs generated from recent fee schedule seminars around the state. As a result of common questions posed by the medical community and workers compensation payers, the Commission issued updated Medical Fee Schedule...

TN: Senate Speaker Signs Bill Enacting Rental and Assignment of PPO Network Rights

Nashville, TN (CompNewsNetwork) - The Senate Speaker of the Tennessee General Assembly signed Bill 3162 which amends TCA Title 50, Chapter 6, Part 12. Present law requires that contracts between agents and medical providers to furnish medical services at rates other than the rates provided in the workers'...

MS: MWCC Posts Proposed Changes to Medical Fee Schedule for 2010

JACKSON, MS - The Mississippi Workers' Compensation Commission has posted proposed changes to the Medical Fee Schedule 2010. Read the proposed changes Source: Mississippi Workers' Compensation Commission

NY: NYSWCB Posts Revised Inpatient Hospital Care Reimbursement Rates

New York City, NY (CompNewsNetwork) - The workers' compensation fee schedule for inpatient hospital care automatically tracks New York Medicaid rates, as determined by the New York State Department of Health (DOH), with limited statutory modifications. New York Public Health Law § 2807-c(1)...

IL: Fee Schedule Created for Chicago/Niles ASTCs

Chicago , IL (CompNewsNetwork) - Ambulatory surgical treatment centers in geozip 607 now have their own fee schedule. When the ASTC schedule was created in 2009, it was based on the hospital outpatient schedule. Because there is no hospital in 607, the ASTC schedule in that geozip defaulted to POC76...

California: Ogilvie Petition to Supreme Court Pending

The lengthy saga in the Ogilvie v W.C.A.B./City & County of San Francisco v W.C.A.B . will continue for at least a while longer as the Defendant in the case, C&CSF has file a Petition for Hearing in the Supreme Court seeking review of the 1st District’s rather confusing decision in its...

California: Ogilvie Petition to Supreme Court Pending

The lengthy saga in the Ogilvie v W.C.A.B./City & County of San Francisco v W.C.A.B . will continue for at least a while longer as the Defendant in the case, C&CSF has file a Petition for Hearing in the Supreme Court seeking review of the 1st District’s rather confusing decision in its...

CWCI Estimates Workers’ Comp Spinal Implant Pass-Through Payments Topped $67 Million in 2010

Duplicate payments to hospitals allowed by the California Workers’ Compensation Official Medical Fee Schedule for implantable hardware used in spinal surgery added an average of $20,137 in fees to 3,350 work injury claims in 2010, boosting workers’ compensation medical costs by nearly $67...

National and State-by-State Workers' Comp News Roundup Powered by Larson's (7/16/2012)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL: NCCI: Claim Frequency Declined One Percent in 2011 . Forbes: Steve Schmutz Interview of Impact of Obamacare...

LexisNexis Provides Analysis of SB 863 California Workers' Compensation Reforms

LexisNexis experts provide in-depth analysis of key portions of SB 863: Medical Treatment Permanent Disability Liens Self-insurance Carve Outs Fee Schedules WARNING: These articles were based on the 8/24 and 8/27 drafts of SB 863. On 8/31/2012, the California Legislature passed SB 863...

Up in Smoke: Should Medical Marijuana Be Allowed in California’s Workers’ Compensation System?

The use of medically prescribed marijuana has been a controversial issue in California for many years. It is interesting that the issue does not come up more often in the workers’ compensation context. It may not come up more because marijuana is still fundamentally an illegal drug. It is hard...

Successes and Failures of Fee Schedules: How Medical Providers Circumvent Fee Schedule-Related Revenue Losses

By John Stahl, Esq. Any first-semester political science major can tell you that government regulation is a common method for controlling what a business can charge for goods or services. Fee schedules provide this price control regarding workers’ compensation medical costs. Like most forms...

CWCI Scorecard Examines California Workers’ Comp “Other Injury, Poisoning & Toxic Effect” Claims

A new California Workers’ Compensation Institute (CWCI) “Injury Scorecard” on job injury claims identified as “other injuries, poisonings and toxic effects” finds that these claims often involve non-specific or ill-defined diagnoses; are more likely than other claims to...

National and State-by-State Workers' Comp News Roundup Powered by Larson's (5/28/2013)

Sign up here for our free workers' compensation enewsletters (National or California Edition) to receive weekly news items. Be sure to select the enewsletter of your choice. NATIONAL NEWS: Physician Fee Schedules Work More for Evaluation/Management, Not Surgery . Physician Dispensed Share...

Comparing Workers’ Compensation and General Healthcare Costs: Compensable Care Incurs Higher Fees

By John Stahl, Esq. Countless studies and the experience of participants in workers’ compensation systems have shown that the prices for medical care within those systems far exceed the costs of comparable treatments in the general healthcare system. This statistical and anecdotal data has demonstrated...

California: Presenting Evidence of the Vocational Expert Post SB 863

Rebuttal of an injured worker’s “strict” permanent disability rating has consistently been one of the hottest topics in recent case law. See Milpitas v. WCAB (Guzman) (2010) 75 Cal. Comp. Cases 837 (lexis.com), 75 Cal. Comp. Cases 837 (Lexis Advance). Although Guzman dealt with a rebuttal...

CWCI Measures California Workers’ Comp Physician Reporting Changes Under the RBRVS Schedule

The average amount paid to California workers’ compensation treating physicians for medical reports fell more than 30 percent in the first quarter of 2014 as the state began to transition to a Resource-Based Relative Value Scale (RBRVS) fee schedule, though a CWCI analysis traces the decline to...