Default Banner
News

SENATOR DAVE SCHATZ INTRODUCES FEE SCHEDULE LEGISLATION

SENATE BILL 601 WOULD CREATE A WORKER’S COMPENSATION FEE SCHEDULE 

By Andrew Babitz

Senator Dave Schatz (R) of Sullivan, Missouri introduced a bill which would completely change how providers are compensated for treatment following work related injuries.  Presently, medical providers in Missouri are reimbursed on a usual and customary basis.  If a medical provider is usually and customarily paid $18,000 for a shoulder surgery, it should, in theory, be paid $18,000.00 for such a procedure.  A fee schedule would set specific prices for specific CPT codes based upon the type of facility and the nature of the treatment.

Other states, including Illinois and Oklahoma, have used a fee schedule for worker’s compensation claims.  As our office represents providers in these states, we can say with relative certainty that reimbursements for similar procedures are significantly less in fee schedule states than in Missouri.  The fee schedule takes arbitrary information and uniformly applies it to all providers regardless of a provider’s cost, skill and or retention rate.

As medical providers across the state of Missouri are having a difficult time meeting their own financial obligations, we strongly believe that a worker’s compensation fee schedule will create more financial stress and hardship for already cash-strapped providers.

The insurance industry will be lobbying hard to pass the legislation in this session.  The benefits for the insurance industry are easy to spell out.  If this legislation passes, the workers’ compensation carriers will be able to fix costs more easily, and correspondingly reduce their reimbursement on Missouri claims.

Our office has had informal discussions with representatives from the Missouri Hospital Association.  It is likely that the MHA will come out against this legislation because of the financial hardship it will place upon medical providers.  Our office urges all of our clients to discuss the matter with your respective elected officials.

If you have any questions or concerns, please don’t hesitate to contact our office at any time.

Click For a Summary of the Bill

Click for the Full Text of the Bill

The Law Offices of Jay B. Umansky, P. C. has prepared this website for general information purposes only and to help you become more familiar with our firm. The materials on the website are not intended to be legal advice or to convey an opinion of legal counsel. Due to the need for updating of information, these materials may not reflect the most current legal developments or cases. The information on the website, therefore, cannot be guaranteed to be correct, complete or up-to-date as of the time you are actually viewing it. Visitors to this website should not take any action with respect to legal matters based on information they may see on this website without actually consulting with legal counsel. The Law Offices of Jay B. Umansky, P. C. does not intend this website to be advertising, nor is it intended to create an attorney-client relationship between you and the firm. You are encouraged to contact the firm and its attorneys through the contact information provided on this site. However, such communications with any of us through this website does not create an attorney-client relationship. Moreover, confidential or sensitive information should not be transmitted to the law firm until a formal attorney-client relationship has been agreed upon and entered into.