Today’s issue of WorkCompRecap features the recent release of WCRI’s CompScope Medical Benchmarks for Florida report, which found that medical payments per claim in Florida have been typical of other states, but that result masks several offsetting factors mainly related to fee regulations.
WCRI noted that prices paid for professional services by nonhospital providers were the lowest of all states studied, due to lower fee schedule rates. Payments per claim for ambulatory surgery centers (ASCs) and for hospital outpatient and inpatient services however were higher than typical. The report also notes that in states with lower prices paid and lower fee schedule rates, certain billing practices that increase payments to providers may be present. Office visits that were more complex, with higher prices, were billed more often in Florida, and other WCRI studies reported more frequent physician dispensing of drugs in the state.
Find out more by clicking here!