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Glossary of WCB Terms

Inpatient & Outpatient
Fee Schedules

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2006 Medical Fee Schedules

Please Note: The Board recommends using the latest version of Adobe Reader Link to External Website which is available as a free download from Adobe's web site.

The Workers' Compensation Board has been advised by the Department of Health that the Ambulatory Surgery Rates for hospital based and free standing ambulatory surgery centers have been frozen at 2003 levels and accordingly, there is no updated fee schedule.

Section 54 of Part C, Chapter 58 of the Laws of 2005, provides in part, that "…rates in effect on March 31, 2003 as established in accordance with paragraph(e) of subdivision 2 of Section 2807 of the Public Health Law shall continue in effect for the period April 1, 2003 through September 30, 2006…"

If you have any questions regarding this announcement, please contact the Department of Health, Bureau of Primary and Acute Care Reimbursement at 518-474-3267.

2006 DRG Update

The Workers' Compensation Board has been advised by the Department of Health that there are new Diagnosis Related Groups (DRG's) and corresponding Service Intensity Weights (SIW's), which are effective for discharges on or after January 1, 2006. The State Hospital Review and Planning Council have adopted these new DRG's and SIW's. In addition, the top 20 DRG's are updated and are effective January 1, 2006

These new DRG's and SIW's can be used with the 2005 rates until such time as the new 2006 rates are published. When the new rates are approved and published you may submit billing reconcilliations as is required.

2006 Revised Hospital Inpatient Fee Schedule for Various Hospitalsadobe pdf

2006 Revised Hospital Inpatient Fee Schedule for Various Hospitals (MS Excel) (Zip File)

2006 DRG Updateadobe pdf

2006 DRG Update (MS Excel) (Zip File)

2006 Hospital Inpatient Fee Scheduleadobe pdf
Effective 01/01/2006 - 12/31/2006

2006 Hospital Inpatient Fee Schedule (MS Excel) (Zip File)
Effective 01/01/2006 - 12/31/2006

2006 Updated Hospital Inpatient Fee Scheduleadobe pdf
Effective 01/01/2006 - 12/31/2006

2006 Updated Hospital Inpatient Fee Schedule (MS Excel) (Zip File)
Effective 01/01/2006 - 12/31/2006

Frequently Asked Questions for Subject Number 046-166 - Payments to Hospitals for Spinal Procedures adobe pdf

2006 Revised/Updated Facility Schedules