Most states adopt a medical fee schedule to set limits on the amounts paid to medical providers for their services. The medical fee schedules cover the cost of medical equipment and medical supplies. They vary in complexity and services covered by jurisdiction but also are similar.
Fee schedules provide some measure of cost control in workers compensation but also complicate the medical billing process. Employers must understand what medical fee schedules are and how they operate.
All jurisdictions attempt to apply fee schedules to all workers compensation injuries. Issues arise as to which medical fee schedule applies when employees, such as truck drivers and traveling sales people, are based in one state and injured in a different state. Normally, the fee schedule of the state where medical treatment is provided applies. However, some jurisdictions require their medical fee schedule to be used if the employee is claiming indemnity benefits in their jurisdiction.
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Most clinics and physicians have good intentions, but there are certain doctors out there that see an insurance claim as a way to bill for unnecessary services.
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What is the primary physician's role in physical therapy? What exactly happens in physical therapy? Read it!
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Here are seven ideas that could potentially make 2013 a smoother year for an adjuster and workers comp. |
The research arm of The Business Council of New York State Inc. has released a new study examining the rising cost of workers comp for New York employers and how costs have been influenced by 2007 legislative reforms.
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