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Medical Treatment Guidelines Comment Period Closing, More Changes on the Way

August 13, 2010

The formal comment period on the Medical Treatment Guideline regulations closes August 16th. More than thirty-five Business Council members participated in a workers' comp committee meeting in mid-July to discuss concerns with the rulemaking, and to think through some of the process and practice changes necessitated by the rulemaking. Find links to the treatment guidelines and the proposed rulemaking here. Comments submitted by the Business Council can be found here. The Board expects to publish final rules with an anticipated effective date of October 18, 2010. It's not too late to weigh in on either the treatment guidelines or the rulemaking.

Workers' Comp Board activity is not taking a summer hiatus, and their short-term agenda reads more like the spring cleaning list. The Board expects to publish a variety of rulemaking proposals in the near term on independent medical examiners; impartial specialists; imaging networks; and out-of-state coverage.  Additionally, the Board intends to update CPT codes and include a 30% increase in the Evaluation & Management fee schedule. In Board discussions on a fee schedule increase with CIRB, they believe at most this will have a 1.5% impact on premiums. E&M, according to the Board, is less than 10% of the system. Related to the fee schedule increase will be a change on how chiropractors will be billing.  The fee schedule currently does not allow for chiropractors to charge by modality, just office visits. Included in the rulemaking on a fee schedule increase will be a new increased fee schedule to allow chiropractors to bill by modality to align with the medical treatment guidelines, which speak to treatment by modality. Please note physical therapists current bill on modality.

Finally, the Board anticipates reconvening the medical treatment guideline workgroup to develop the next set of treatment guidelines for pain and carpal tunnel syndrome. Stay tuned! 

Workers' Comp Committee To Meet September 15th

Looking for a way to wind down Summer and gear up for Fall? Looking to ask some questions about the Board's short-term agenda items identified above?  Plan on joining us for a meeting of The Business Council's Workers' Comp Committee on Wednesday, September 15, at 1pm. The meeting will be held at our Corporate Woods Offices.  Workers' Comp Board leadership have agreed to join us at the meeting to address issues and concerns across a range of topics raised by members including the pharmacy network regulations and fee schedules; MAP; and implementation (including training schedule) of the medical treatment guidelines.