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New IL MS-DRG Hospital Fee Schedule Is Posted

02 Jul, 2009 WorkersCompensation.com

                               
Chicago, IL (CompNewsNetwork) - The new hospital inpatient fee schedule is now online at http://iwcc.ingenixonline.com/IWCC.asp 

Medicare changed its inpatient coding from the DRG (Diagnosis Related Group) to the MS-DRG (Medical Severity-Diagnosis Related Group) system, and the Commission has adapted to the change.

As provided in the rules, as of June 30, 2009, the inpatient fee schedule is in accordance with the MS-DRG codes. To allow some transition time, the Workers¹ Compensation Medical Fee Advisory Board and the Commission ask providers and payers to cooperate and follow a July 31, 2009 effective date.

For prior dates of treatment, the inpatient fee schedule uses DRGs.

Providers and payers should work to translate these bills using the CMS crosswalk, Grouper Version 24.0, available at http://www.iwcc.il.gov/crosswalk.xls

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