the Home page of the Injured Workers' Bar Association, Inc. and thanks for
visiting us. This web site is intended to be a resource to existing members,
attorneys seeking to join the organization, and visitors by offering
information to injured workers in New York.
The Injured Workers' Bar Association, established January 7, 1997, is comprised of attorneys from
throughout New York State who concentrate their practice in representation of
injured workers. Many of our members practice exclusively in the area of
Workers' Compensation Law. Our members provide legal representation for tens of
thousands of injured workers every year. To become a member of the IWBA, an
attorney must show that 80% or more of their Workers' Compensation practice
consists of representing injured workers and not insurance carriers or
employers. Most members also help injured workers in personal injury cases and
Social Security Disability cases.
New Reimbursement Rates for Inpatient Hospital Care
Date: December 27, 2013
Pursuant to New York Public Health Law § 2807-c(b-1), the workers' compensation fee schedule for inpatient hospital care tracks New York Medicaid rates, with limited statutory modifications. These rates also apply to treatment provided under the Comprehensive Motor Vehicle Reparations Act, Volunteer Firefighters Benefit Law, and Volunteer Ambulance Workers' Law. The New York State Department of Health (DOH) is required by statute to promulgate the workers' compensation inpatient rates. The DOH recently provided the Workers' Compensation Board (Board) with reimbursement rates for inpatient hospital care with discharge dates of January 1, 2013 through December 31, 2013:
- Medically managed detoxification (MMD) and medically supervised inpatient withdrawal (MSIW) reimbursement rates with discharge dates of January 1, 2013 through December 31, 2013. These rates reflect the detox rate reform provisions of Section 2807-c(4)(1) enacted under Chapter 58 of the Laws of 2008, and as subsequently revised under the Laws of 2009. The new rates are now posted on the Board’s website located under Health Care Information, Medical Care Fee Schedules, Inpatient and Outpatient Fee Schedules, 2013.
- Inpatient hospital care reimbursement rates with discharge dates of January 1, 2013 through December 31, 2013. These rates are determined using the Medicaid inpatient methodology, All Patients Refined – Diagnostic Related Groups (APR-DRG). The new rates are now posted on the Board’s website located under Health Care Information, Medical Care Fee Schedules, Inpatient and Outpatient Fee Schedules, 2013.
Robert E. Beloten
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