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Workers' Compensation Board

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Inpatient & Outpatient
Fee Schedules

 

 

 

 

 

 

2016 Medical Fee Schedules

The WCB adopted Enhanced Ambulatory Patient Group (EAPG) methodology for the reimbursement of Ambulatory Surgical Centers (ASCs) and outpatient hospital surgery bills effective 10/01/2015.

If you have any questions regarding the information contained in the links below, please contact the Department of Health, Bureau of Primary and Acute Care Reimbursement at 518-486-7164 or email HospFFSunit@health.ny.gov.

Department of Health Letters for 2016 hospital reimbursement rates Effective 01/01/2016 12/31/2016 adobe pdf

Calculation Worksheet Effective 01/01/2016 12/31/2016 (MS Excel)

Inpatient Case Payment Rates Effective 01/01/2016 12/31/2016 adobe pdf

Inpatient Exempt Unit Rates Effective 01/01/2016 12/31/2016 adobe pdf

Inpatient Case Payment Rates (including Exempt Unit Rates) Effective 01/01/2016 12/31/2016 (MS Excel)

Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2016 12/31/2016 adobe pdf

Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2016 12/31/2016 (MS Excel)