Illinois Workers' Comp Commission Reviews Medical Fees Schedule

Oakland, IL (CompNewsNetwork) - The medical fee schedule proposed rules were submitted to the Joint Committee on Administrative Rules (JCAR) on December 1 and will be heard at the January 13, 2009 JCAR hearing at 9 am in Springfield in room C-1 of the Stratton Building.

The proposed rules would create fee schedules for the following areas: ambulatory surgical treatment centers; hospital outpatient radiology, pathology and laboratory, physical medicine and rehabilitation services; hospital outpatient surgical facility services; and rehabilitation hospitals. Due to a lack of data, the original fee schedule did not include fees for these areas, and payment was set at 76% of the provider's charge. If JCAR approves, we anticipate the new rules will take effect on February 1, 2009.

Please note that the proposed rules specify that the hospital inpatient fee schedule will convert from the DRG coding system to the MS-DRG coding system no later than June 30, 2009.

The Commission met as a whole on September 26, 2008, and voted to submit the proposed changes to the fee schedule first voted on at the February 21, 2008 meeting. After February 21, 2008, the IWCC held two hearings where public comment was taken. Written comments were accepted until April 21, 2008.
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