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HOPD payments higher in states with percent-of-charge fees or no fee schedule — 3 insights

States with percent-of-charge-based fees or no fee schedules had higher and faster-growing hospital outpatient department payment rates, reports.

The Workers Compensation Research Institute compared payments for common hospital outpatient surgeries in workers' compensation cases across 36 states.

What you should know:

1. Hospital payments per surgical episode in states with percent-of-charge-based fees were 67 percent to 212 percent higher than in states with fixed-amount fees in 2017.

2. Payments in states without fee schedules were 62 percent to 148 percent higher.

3. Outpatient payments also grew faster in states with percent-of-charge-based fees or in states without fee schedules.

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