Illinois Workers’ Comp Commission to Hear Changes to Medical Fees

December 8, 2008

Changes to the medical fee schedule proposed rules were submitted to the Illinois Joint Committee on Administrative Rules (JCAR) on Dec. 1 and will be heard at the Jan. 13, 2009 JCAR hearing at 9 am in Springfield, Ill. 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 providers of the provider’s charge. If JCAR approves, we anticipate the new rules will take effect on Feb. 1, 2009.

The statement from JCAR noted 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 Sept. 26, 2008, and voted to submit the proposed changes to the fee schedule first voted on at the Feb. 21, 2008 meeting. After Feb. 21, 2008, the Illinois Workers’ Compensation Committee held two hearings where public comment was taken. Written comments were accepted until April 21, 2008.

Source: Joint Committee on Administrative Rules

Topics Workers' Compensation Illinois

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