Medical Fee Schedules December 30 2014
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.
The above information is from the Comprehensive Version of our
2014 Training Manual: Mastering Workers Comp Costs