Report Examines How Fee Schedule Changes Affect Workers' Comp Payments

The National Council on Compensation Insurance recently examined how workers' compensation medical payments responded to changes in fee schedules for particular services, according to a Risk and Insurance report.

According to the report, the NCCI study looked at the average payments for workers' comp between 2002 and 2006 for several medical services related to the charge in the fee schedule amount during that period. The study found that several factors significantly affected changes in workers' comp medical prices, including:

• A change in average workers' comp reimbursements resulting from a change in state physician fee schedule for a given service depends on the relationship between the fee schedule at the market prices for the medical services.

• Workers' comp fee schedules are able to control the cost of high-volume, low-priced procedures better than low-volume, high-priced procedures.

• The impact of increasing a workers' comp fee schedules maximum reimbursement is not the reverse of decreasing the scheduled amount.

The six case studies included in the research came from different states and different kinds of procedures.

Read the Risk and Insurance report on the NCCI study.

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