Delaware workers comp fee schedule changes: 4 elements affecting ASCs
1. HB 373 went into effect July 15. The bill included a 33 percent reduction in medical costs to the workers' compensation system, absolute caps on all workers' compensation procedures beginning Jan. 1, 2017 and increased independence for the Ratepayer Advocate, according to the report.
2. The absolute caps are based on a percentage of Medicare per-procedure reimbursements. The Rate Payer Advocate represents ratepayers during the workers' compensation rate approval process. The Advocate will move from under the purview of the Department of Insurance to the Workers' Compensation Oversight Panel, according to the report.
3. The legislation includes revisions to hospital and ASC fee schedules. ASCs that submitted a rate change report for the 2014 fee schedule will not be required to submit a rate change report next year.
4. The WCOP will send out a mandatory data request to hospitals and ASCs. The data will be used to create a new fee schedule. The new fee schedule will be created by Oct. 1 and put into play Jan. 31, 2015.
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