Most states have medical fee schedules that list the reimbursement amounts per ICD 10 codes. State governments have reduced the cost of workers’ compensation medical benefits by enacting these workers’ comp medical fee reductions.
I have long been a proponent of workers’ comp fee schedules. The organizations that track their effectiveness include the Workers’ Compensation Research Institute (WCRI) and the two major rating bureaus – National Council on Compensation Insurance (NCCI) and California’s Workers Compensation Insurance Rating Bureau (WCIRB).
WCRI publishes key indices and studies on the effects of the fee schedules. I have tracked one test state (Virginia) over the last few years to see if the Dominion State’s medical charges were reduced after the state decided to control the medical costs.
Virginia’s medical costs have been reduced greatly over the last few years. Many other states such as Tennessee have seen their Workers’ Comp medical costs decrease over time.
A few states such as Iowa have decided to not enact any type of schedule for medical cost reduction. This leaves the insurance carriers to usually pay higher rates which are passed onto the insured employers through higher premiums.
The WC insurance carriers are left to negotiate usual and customary fees for a medical provider in a certain area – known as U&C fees.
Adjusters struggle to set the proper reserve levels without having a guide as to how much the medical bills will cost without a schedule of some type.
Medicare/Medicaid fee structures are often used by states to set the reimbursed rates to providers.
2023 Medical Price Index – WCRI – Annual Free Thorough Comparison Study If you go to WCRI’s (Workers Compensation Research Institute) main page, you should
Recent Fee Schedule Study – Shows The Same Result As Always – Important A recent fee schedule study was published recently by WCRI (Workers Comp
WCRI Report Shows That No Wisconsin Medical Fee Schedule = Higher Costs Workers Comp fee schedules tend to keep costs down in most states. A
States With Fee Schedules Have Lower Workers Comp Outpatient Medical Costs – WCRI Fee schedules have appeared in this blog many times due to the
Medical Fee Schedule Dilemma – No Schedule Means Higher Costs Now and In Future The WCRI (Workers Compensation Research Institute) just released a study pointing
WCRI Chart On ASC Studies Shows Need For Fee Schedules in Workers Compensation A recent WCRI Chart (Workers Compensation Research Institute) pointed out a hidden
Workers Compensation Fee Schedules = Less Costly Claims and Premiums Virtually all Workers Compensation Fee Schedules cut comp costs across the board. Check out this
New Virginia Medical Fee Schedule Active on January 1, 2018 The new Virginia medical fee schedule for Workers Compensation commences in a few weeks. I
WCRI-Wisconsin Medical Fee Schedule Lacking A Wisconsin medical fee schedule would likely help out the Badger State. WCRI ( Workers Comp Research Institute) recently updated
Virginia Medical Fee Schedule Finally Enacted The lack of a Virginia Medical Fee Schedule has long been a concern of mine and many of the
The New Virginia Rule 14 – Fee Schedule Soon? The new State of Virginia Rule 14 is now closed for comments. A copy of
No Fee Schedules Cost Employers $$$ The lack of Fee Schedules cost employers dearly in extra workers compensation premiums. After looking at the chart again
Workers Comp Fee Schedules As Cost Controllers Workers Comp fee schedules are one of the best ways for a state to help employers control WC
NCCI Study on Effect of Fee Schedules NCCI is one of my favorite companies. They recently produced a great study on fee schedules. They have
Illinois Fee Schedule Reduction Causes Changes The Illinois fee schedule reduction of 30% – blogging – WCRI live. 30% across the board reduction by Illinois
Physician Fee Schedules Studied By NCCI The National Council on Compensation Insurance (NCCI) recently published two studies on the effects of fee schedules on physician
Medical Fee Schedules – Virginia Legislature Moves On To Other Things Virginia’s decision on medical fee schedules will cost the state’s employers dearly. The Virginia
Iowa Approves 7.9% Increase in Rates (Ouch) The state of Iowa Approves a 7.9 percent rate increase. NCCI recommended that Iowa increase its Workers
Medical Cost – Indiana Rate Increase of 5% The Indiana rate increase in medical cost should come as no surprise. Yesterday, I posted on the
The Savings Do Not Stop With Work Comp Fee Schedules The Work Comp Fee Schedules have always been a way to cut comp costs. the
Medical Fee Schedules For Workers Comp Workers Comp medical fee schedules are they worth it for the state without one to act for their constituent
High Medical Costs Per Claim In Virginia A recent study by WCRI indicates that the state of Virginia has one of the higher medical costs
Virginia The Most Expensive State The most expensive state for WC medical costs is Virginia. This article is a follow-up from this post on medical
Medical Bills U&C – Overpaying? Are you overpaying for medical bills in U&C or a fee schedule? I posted my views on medical billing for
A State Medical Fee Schedule Usually Saves Funds States without a Workers Compensation medical fee schedule become more rare every year. At last count, there
Corrected on States Without Workers Comp Medical Bill Fee Schedules The States of Virginia Workers Comp Medical Bill Fee Schedules does not exist. A few
Workers Compensation Medical Fee Schedules Workers Compensation medical fee schedules do cut comp costs. After my last post, I received the question – Which states
Tennessee Workers Comp Health Costs Lowered Fee schedules for Tennessee Workers Comp health Costs work reduced medical costs in the state without question. Most of
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