Q1 Report 2018

Medical Fee Services - Goals

Ensuring the medical fee schedules are properly executed, monitored, and maintained.

1. Provide required services as mandated by HB378, establishing medical fee schedules.

•MFS was implemented on January 1, 2018.

•Members of the MFS department obtained CPC (certified professional coding) designation to support understanding of applicable coding classifications. 2. Establish billing procedures and support reimbursement levels for health care providers treating injured workers. •MFSD responded to stakeholders’ inquiries and provided information regarding the dispute resolution process. 3. Provide direction and training on the dispute resolution process when there is a dispute regarding reimbursement. •MFS Look-up tool testing completed and tool will be deployed in the Q2 2018. •MFSD received and responded to 160 fee schedule related inquiries. •MFSD began design of two additional public education outreach campaigns in response to inquiries to be released during Q2 2018. •eNews letter •Regional In-service Training Sessions 4. Provide information to the public on the medical fee schedules and related requirements.

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Quarterly Report - Q1 2018

Department Updates