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States use various methods to determine their allowable fees for health
care providers rendering services in non-facility settings (meaning
non-hospital or a hospital like "facility"). This table details when
states initially enacted a medical provider fee schedule for workers'
compensation; the basis of their allowable fees; when those fees were
last updated, where the regulations can be found and if those fees can
be negotiated above or below the allowable fee. |
|
State |
Date of Initial Implementation |
Basis of Non-Facility Provider Fee Schedule |
|
Official Title of the Non-Facility Provider Fee Schedule |
Copies of the Schedule Are Available at: |
Fees Can Be Negotiated |
|
Blue Cross/Blue Shield RVS |
Medicare's RBRVS |
California's RVS, 1974 |
RV for Physicians - St. Anthony's Press or Other |
State Developed RVS (Other than California) |
Date of Last Update |
|
Sample State 1 |
2006 |
|
x |
|
|
|
03/15/07 |
XXXX 17.02.08.031 |
|
Yes, they can be negotiated above or below the published rate. |
|
Sample State 2 |
No Provider Fee Schedule |
|
Notes: |
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