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 198
Hospital Outpatient Departments and Ambulatory Surgical Centers
136
Medical-Legal Fee Schedule 49
Contract for Reimbursement Rates 47
Inpatient Hospital Services 40
Pathology and Laboratory Services 26

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

21
Interpreter 18
Pharmaceutical 8
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 151 overturned cases issued from applications filed since January 1, 2018 total $475,000 in additional reimbursement to the IBR applicants.

IBR Case Outcome

May 2018