Fee Schedules and Hospital Ratios

The Workers’ Compensation Administration released the 2017 Health Care Providers’ Billing Instructions and Fee Schedule on Dec. 1, 2016. The schedule becomes effective Jan. 1, 2017. We discovered an unfortunate error in the last section of the fee schedule, at page 74, regarding the professional and technical components of radiologic billing codes; the headings were transposed, but have been corrected in both PDF and Excel versions.

Instructions for downloading:

1. The sections are separated by categories and forms that pertain to that section are listed in the boxes, click the year to expand the selection and the downloadable forms will be visible.
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3. The formats are  Excel for Microsoft Excel, or pdf for Adobe PDF.

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Fee Schedules and Billing Instructions

Schedules by the Year

The link below contains the pdf for the fee schedules and billing instructions for 2018 
Download the HealthCare Provider Fee Schedules 2018  pdf   Excel  
The link below contains the pdf for the fee schedules and billing instructions for 2017 
Download the HealthCare Provider Fee Schedules 2017  pdf   Excel  
The link below contains the pdf for the fee schedules and billing instructions for 2016 
Download the HealthCare Provider Fee Schedules 2016  pdf   Excel
The link below contains the pdf for the fee schedules and billing instructions for 2015 
Download the pdf for the HealthCare Provider Fee Schedules 2015  pdf  Excel

Director's Fee Schedule Orders 

Schedule orders by the Year

The link below contains the downloadable pdf for the Director's fee schedule order for 2017 
Download the Director's fee schedule order for 2017  pdf 
The link below contains the downloadable pdf for the Director's fee schedule order for 2016
Download the Director's fee schedule order for 2016   pdf
The link below contains the downloadable pdf for the Director's fee schedule order for 2015
Download the Director's fee schedule order for 2015  pdf  

Response to Public Comment

Schedules by the Year

The link below contains the downloadable pdf for the response to public comment for 2017 
Download the response to public comment for 2017  pdf 
The link below contains the downloadable pdf for the response to public comment for 2016 
Download the response to public comment for 2016  pdf   
The link below contains the downloadable pdf for the response to public comment for 2015 
Download the response to public comment for 2015  pdf 

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Hospital Ratios

For method of payment for Freestanding Ambulatory Surgery Centers, please see page 5 of the Fee Schedule and Billing Instructions document listed in the section above.

Ratios Effective January 1, 2016 can be found on pages 4 and 5 of the Fee Schedule and Billing Instructions document listed in the section above.


The link below contains the pdf for the ratios effective January 1, 2015 
Download the pdf for the Ratios effective January 1, 2015  pdf 
The link below contains the pdf for the ratios effective December 31, 2013
Download the pdf for the Ratios effective December 31, 2013  pdf 
The link below contains the pdf for the ratios effective January 1, 2013
Download the pdf for the Ratios effective January 1, 2013  pdf   
The link below contains the pdf for the ratios effective December 31, 2012
Download the pdf for the Ratios effective December 31, 2012  pdf 

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