VWC Quarterly Report - Q3 2017

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.

2. Establish billing procedures and support reimbursement levels for health care providers treating injured workers.

•MFS staff were enrolled in AAPC medical record coding and auditing certification course.

•The Dispute Resolution Process was approved on August 28, 2017 and posted on the Commission website. 3. Provide direction and training on the dispute resolution process when there is a dispute regarding reimbursement. •MFS received and responded to 39 fee schedule related inquiries. •Continued development of a Frequently Asked Questions (FAQs) document to be posted on the Commissions’ website. •An internal project was established to test a new Medical Fee Schedule lookup tool. The lookup tool is being developed to assist stakeholders in navigating the schedules. 4. Provide information to the public on the medical fee schedules and related requirements.

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Quarterly Report - Q3 2017

Department Updates