The revised rule states that fees for medical services provided on or after Dec. 31 but before July 11, 2011, may not exceed the Workers' Compensation Board's fees adjusted by the medical care component of the consumer price index. If the type of treatment is not included in the board's fee schedule, the amount charged may not exceed the usual, customary, and reasonable fee based on the 90th percentile of the range of charges for similar services reported in the community in which the medical services were rendered. If the employer has evidence that the charged fee exceeds this amount, the employer shall pay the physician based on the employer's evidence. The physician may request a hearing for a board determination of the usual, customary, and reasonable fee in the community for the treatment or service. The changes take effect on Dec. 31. For information on the changes, visit www.labor.alaska.gov/wc/forms/wc-medial-fee-schedule.pdf.
Read more at the WorkersComp Forum homepage.
December 27, 2010
Copyright 2010© LRP Publications