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News & Press: Legislative News

Workers Comp Board Proposes New Fee Schedule

Monday, July 23, 2018  
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Legislative Update

The New York State Workers Compensation Board has proposed a new fee schedule that appears to be about 5% higher. It's the first substantial increase since 1996!

The NYS Workers Compensation Board is accepting comments on the proposals at regulations@wcb.ny.gov until August 6, 2018. The new fee schedule is planned to go into effect October 1st.

While we welcome the 5% rate increase, the increase does not even make up for inflation that has occurred since 1996. When adjusted for inflation, even with the rate increase, occupational therapists will be making 23% less than they did in 1996.

The Workers Comp fee schedule utilizes relative value units (RVUs) set for each CPT code. The RVU for each CPT is based on comparative magnitude among various services and procedures.

We are concerned that the proposal leaves in place a limit of 8 RVUs for follow-up visits. This limit reduces the value of the rate increase. No other state imposes such a strict limit on their RVUs. New York places last in the United States in Workers' Compensation payment rates!

Occupational therapy is the best link to recovery and a return to work for many injured workers. However, the Workers Comp payment rates make it prohibitive for most occupational therapy providers to provide services to injured workers.

The Workers Compensation Board Press Release can be found by clicking on the following link:

http://www.wcb.ny.gov/content/main/PressRe/new-medical-fee-schedule.jsp

 


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