The Intelligent Insurance Solution

WCC Establishes Final Fee Schedule

After a series of meetings were held at the Workers’ Compensation Commission (WCC) over the final months of 2014, with input from the payor, provider and employer communities, the Chairman issued the following rates and rulings in an official memorandum dated December 31, 2014:

  • The hospital inpatient rate shall be 174% of the Medicare rate
  • The hospital outpatient and hospital-based ambulatory surgery rate shall be 210% of the Medicare rate
  • The non-hospital based ambulatory surgery rate shall be 195% of the hospital-based outpatient Medicare rate

The National Commission on Compensation Insurance (NCCI) recently announced that they have filed an overall average loss cost change of -2.3% as a result of the new fee schedule. The WCC is currently working with a vendor to publish the applicable rates, rules and guidelines for implementation of this fee schedule for an effective date of April 1, 2015.