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Workers’ Compensation Board

Inpatient & Outpatient
Fee Schedules

 

 

 

 

 

 

2018 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 1/1/2018 - 12/31/2018 adobe pdf

Inpatient Case Payment Rates Effective 01/01/2018 12/31/2018 adobe pdf

Inpatient Exempt Unit Rates Effective 01/01/2018 12/31/2018 adobe pdf

Inpatient Case Payment Rates including (Exempt Unit Rates) Effective 01/01/2018 12/31/2018 (MS Excel)

Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2018 12/31/2018 adobe pdf

Inpatient Chemical Dependency Detox Per Diem Rates Effective 01/01/2018 12/31/2018 (MS Excel)

Department of Health Letters for updated hospital reimbursement rates Effective 07/01/18 12/31/18 adobe pdf

Inpatient Case Payment Rates Effective 07/01/18 12/31/18 adobe pdf

Inpatient Case Payment Rates Effective 07/01/18 12/31/18 (MS Excel)

APR-DRG Service Intensity Weights, Average Length of Stay and High Cost Outlier Thresholds July 1, 2018 Effective 07/01/18 12/31/18 adobe pdf

APR-DRG Service Intensity Weights, Average Length of Stay and High Cost Outlier Thresholds July 1, 2018 Effective 07/01/18 12/31/18 (MS Excel)

Calculation Worksheet Effective 07/01/18 12/31/18 adobe pdf

Calculation Worksheet Effective 07/01/18 12/31/18 (MS Excel)