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Quarterly Report - Q1 2018
Ensuring the medical fee schedules are properly executed, monitored, and maintained.
Department Updates
Medical Fee Services - Goals
1. Provide required services as mandated by HB378, establishing medical fee schedules.
•Members of the MFS department obtained CPC (certified professional coding) designation to support
understanding of applicable coding classifications.
•MFS was implemented on January 1, 2018.
•MFSD responded to stakeholders’ inquiries and provided information regarding the dispute resolution process.
•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
2. Establish billing procedures and support reimbursement levels for health care providers treating
injured workers.
3. Provide direction and training on the dispute resolution process when there is a dispute
regarding reimbursement.
4. Provide information to the public on the medical fee schedules and related requirements.