IBR update 2017
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|
|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|
January to December 2017 Applications
- 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.