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 346
Hospital Outpatient Departments and Ambulatory Surgical Centers
188
Medical-Legal Fee Schedule 88
Contract for Reimbursement Rates 71
Inpatient Hospital Services 58
Pathology and Laboratory Services 45

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

30
Interpreter 23
Pharmaceutical 10
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 259 overturned cases issued from applications filed since January 1, 2018 total $1.073 million in additional reimbursement to the IBR applicants.

IBR Case Outcome

July 2018