2012 Rules, Manual & Fees

The Health Care Services cost containment calculations for the 2012 Rule Set are posted below. The format of the postings is new. The boxes below address the six different methods of calculation used to determine the maximum reimbursement for medical care, treatment, procedure and devices under the Michigan Workers' Compensation Act and Health Care Services Rules.

Within each box, there are two buttons. Clicking on the Worksheet button will take the user to a calculation worksheet that will provide a link to the full CMS data for the particular treatment or service. Once the appropriate CPT or HCPC is found on that chart, copy the information into the box specified in the worksheet. Upon entry of the data, the worksheet will automatically calculate the specific fee for the code.

Also provided is a button that links the full CMS Physicians Fee Schedule, the underlying data source for all the RBRVS based calculations.

Questions may be directed to 517-322-1980.

2012 HCS Rules 

 

2012 HCS Manual 

 

2012 CMS Physician Fee Schedule 

 

 

 

AMBULATORY SURGICAL CENTER

Drugs & Biologicals, Pass-Through Items; Surgery

 

Worksheet 

 

Methodology 

 

 

 

ANESTHESIOLOGY

 

Worksheet 

 

Methodology 

 

 

 

CLINICAL LAB

 

Worksheet 

 

Methodology 

 

 

 

HCPCS LEVEL II

Durable Medical Equipment; Orthotic/Prosthetic

 

Worksheet 

 

Methodology 

 

 

 

HOSPITAL RATIOS

 

Excel 

 

Methodology 

 

 

 

RBRVS 

Evaluation & Management; Medicine; Physical Medicine;

 Pathology; Radiology; Surgery

 

Worksheet 

 

Methodology