Austin, TX – ODG by MCG recently announced that state-specific fee schedules are now available in its ODG for Workers’ Compensation solution. The new enhancements are expected to help insurance carriers that cover work injuries simplify the billing process and provide better support for claim decisions. ODG incorporated fee schedules into its ODG for Auto Injury solution earlier this year.
State fee schedules are widely known as lists of maximum rates a payer (or insurance carrier) will allow for services based on code sets such as CPT, HCPCS, and CDT codes. These schedules are considered important for organizations involved in the adjudication or review of bills for workers’ compensation and/or auto injuries. ODG by MCG, an evidence-based web platform for workers’ compensation guidance adopted in many U.S. states, is now providing these state-specific fee schedules for insurance carriers to reference and use in cost comparison analyses.
The detailed schedules for 43 states where fee schedules are currently published are available within the ODG TAO Index solution. In addition, they can be integrated via API (application programming interface) into existing claims management systems. End users can filter the fee schedules by region, rate modifiers, types of service, and places of service. The ODG team designed the new feature to help adjusters and claim processors optimize workflow efficiency and to help accurately reference costs during the billing process.
ODG Senior Product Owner, CJ Hallas, said, “Having access to in-depth fee schedule information will bring value to insurers, clinicians, and claims management professionals set proper expectations.” He added, “This ODG enhancement will help streamline negotiations, guide appropriate claim decisions, and support claim automation to flag bills that fall outside expectations.”
Source: ODG by MCG