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    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 

     

     

    Related Content
     •  2010 Rules, Manual & Fees
     •  2009 Rules, Manual & Fees
     •  2008 Rules, Manual & Fees Effective
     •  2007 Rules, Manual & Fees Effective 4/2/07
     •  2006 Rules, Manual & Fees Effective 3/10/06
     •  2005 Rules, Manual & Fees Effective 2/10/05
     •  2004 Rules, Manual & Fees Effective 2/20/04
     •  Health Care Services Rules, Manuals & Fees
     •  2003 Rules, Manual & Fees Effective 3/4/03
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