IBR update 2020
|2020 IMR Filings||Jan||Feb||March||April||May||June||July||Aug||Sept||Oct||Nov||Dec||Total|
|Total Number of AIBRpplications Received by the IBR Organization||163||163|
|Total Number of Eligible IBR Applications||116||116|
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|
|Hospital Outpatient Department & Ambulatory Surgical Centers||38|
|Contract for Reimbursement Rates||25|
|Medical-Legal Fee Schedule||10|
|Inpatient Hospital Services||7|
|Durable Medical Equipment, Prosthetics, Orthotics & Supplies||1|
|Pathology & Laboratory Services||1|
Ambulance Services and Interpreter Services
- Overturned – The IBRO has determined that additional reimbursement is warranted.
- Upheld – The IBRO has determined that no additional reimbursement is warranted.
There have been 121 case decisions issued in 2020. The 70 overturned cases issued since January 1, 2020 total $269,365 in additional reimbursement to the IBR applicants.