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Quarterly Report - Q3 2017
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.
•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.
•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.
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.