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WCC Delays Vote on Fee Schedule and Tackles Surgical Implants

10/27/2009
controversy. But Gary Cannon the commission's current executive director said Monday the objections from the state's orthopedists were strong enough to table the final vote. The board asked Thibault to survey orthopedic clinics to determine specific changes based on current procedural terminology CPT

Category: News

Salinas Chiropractor Tied to Alleged WC Fraud at Paper Plant

12/03/2009
provide a limited number of treatments due to the injury being work related." Davis is accused of selecting the current procedural terminology CPT codes for billing purposes during or after each treatment and gave them to his office manager. When she questioned whether the sessions should be billed as

Category: News

New Issue Surfaces in State Work Comp Fraud Fight

03/17/2010
medical fee schedule adding more than 2000 Current Procedural Terminology CPT codes. Zobel who along with Croft teach an annual workers' compensation update course for the Alaska State Bar Association said it would be good for lawmakers to close this loophole in the statute but she didn't have

Category: News

DWC Suspends New Medical Fee Schedule

08/03/2010
Procedural Terminology CPT Codes. The new schedule would significantly boost payments to the state's anesthesiologists based on changes in the state conversion factor. Lovan said individual surgeons have threatened to leave the system based on the new fee schedule. The Kentucky Orthopaedic Society did

Category: News

Legislature Mulls Fee Schedule, Advisory Council

01/19/2011
proposed in Olson's bill would update Current Procedural Terminology CPT codes but it still calls for fees set at 90 of the usual and customary rates UCR. During committee deliberations last year lawmakers discussed the possibility of reducing that number to 80 or 70. The Medical Services Review

Category: News

Supporters Hope to Avoid Amendments to Fee Schedule Bill

03/14/2011
employer. James Jordan executive director of the Alaska State Medical Association said the legislation doesnt call for a change in methodology but it would add new CPT codes that havent been updated since 2004 and changes language to say it applies to services rendered after Dec. 31 2010. He said

Category: News

Alaska Approves Emergency Fee Schedule

06/24/2011
customary and reasonable rates for a specific geographic region the fee charged to the general public or the fee negotiated between the provider and employer. The new fee schedule will add current procedure technology CPT codes that haven't been updated since 2004 but it is not the complete overhaul

Category: News

FairPay Seeking Electronic Audits of Surgery Centers

07/07/2011
physical location to verify information" Davis said in an interview. "The EDI format is much more efficient. We're asking that insurance companies have the choice." The manuals sets out MRAs based on American Medical Association's 2010 current procedural terminology CPT codes. The DWC held workshops

Category: News

DWC Rolls Out Final Drafts of Fee Manuals

09/28/2011
2008 values. NCCI said the change will increase overall workers' compensation costs by 0.7. The proposed update to the manual also would adopt the 2010 version of the American Medical Association's current procedural terminology CPT codes. Florida statute sets maximum reimbursements at 140 of

Category: News

Medical Fee Changes Seen as Network Threat

10/24/2007
manager in Austin said his association is drafting comments to be presented to the division. "We don't think it's appropriate to have a special adjustment factors for surgeons" Woods said. "The CPT codes already have that built in." Like Frakes Woods is concerned that the new rates "will

Category: News

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