IBR update 2018

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 601
Hospital Outpatient Departments and Ambulatory Surgical Centers
282
Medical-Legal Fee Schedule 127
Contract for Reimbursement Rates 112
Inpatient Hospital Services 101
Pathology and Laboratory Services 81
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
34
Interpreter 23
Pharmaceutical 18
Ambulance Services 0

Case Outcomes

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

The 384 overturned cases issued from applications filed since January 1, 2018 total $1.3 million in additional reimbursement to the IBR applicants.

IBR Case Outcome

October 2018