IBR update 2017

Applications Filed

IBR Total Filing chart

Applicable Fee Schedule

This is the DWC fee schedule that covers the service for the disputed bill and is used by the IBRO to decide the appropriate reimbursement. Contracts between providers and payers may supersede the DWC fee schedules and are considered separately by the IBRO.

Applicable Fee Schedule Count
Physician Services 1129
Hospital Outpatient Departments and Ambulatory Surgical Centers
527
Contract for Reimbursement Rates 309
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 170
Medical-Legal Fee Schedule 140
Inpatient Hospital Services 92
Pathology and Laboratory Services 76
Pharmaceutical 7
Ambulance Services 2
Interpreter 2

January to December 2017 Applications

Case Outcomes

  • Overturned – The IBRO has determined that additional reimbursement is warranted.
  • Upheld – The IBRO has determined that no additional reimbursement is warranted.

The 995 overturned cases issued total $2.2 million* in additional reimbursement to the IBR applicants who filed in 2017.

*This does not include the reimbursements of the $195.00 applicants’ filing fee.

IBR Case Outcome

January 2018