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Workers' Compensation Board

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Inpatient & Outpatient
Fee Schedules

 

 

 

 

 

 

2017 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 updated hospital reimbursement rates Effective 1/1/2017 - 12/31/2017 adobe pdf

Calculation Worksheet Effective 01/01/2017 12/31/2017 (MS Excel)

2014 SIWs and ALOS cost threshold adobe pdf

2014 SIWs and ALOS cost threshold (MS Excel)

Inpatient Case Payment Rates Effective 01/01/2017 12/31/2017 adobe pdf

Inpatient Exempt Unit Rates Effective 01/01/2017 12/31/2017 adobe pdf

Inpatient Case Payment Rates including (Exempt Unit Rates) Effective 01/01/2017 12/31/2017 (MS Excel)

Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2017 12/31/2017 adobe pdf

Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2017 12/31/2017 (MS Excel)