Free Webinar Series: Part 1 of 8: Master the Basics, Tuesday Tuesday, September 11th, 2018 1-2PM PDT

Blog: Daisy News

News, data, & insights about workers' comp billing

header_illustration_blogDaisyBill

More on Reduced Filing Fees for Workers' Comp IBR and IMR

February 27, 2015 by Catherine Montgomery

Yesterday I posted about recent Independent Medical Review (IMR) and Independent Bill Review (IBR) fee reductions, effective January 1, 2015. I’m following up on that post to address questions we’ve received about the consequence of these reductions.

First, a comparison chart showing how much some of the application fees have fallen since the introduction of IMRs and IBRs:

Application

Original

April 1, 2014

January 1, 2015

Completed IBR

$335

$250

$195

Ineligible IBR not sent to review

$65

$50

$47.50

Standard IMR involving non-pharmacy claims

$560

$420

$390

IMRs terminated or dismissed, not forwarded to a Medical Professional Reviewer

$215

$160

$123

Second, and this is important, the actual Division of Workers’ Compensation (DWC) IBR form still states an old fee amount. The DWC Form IBR-1 (Effective 02/2014) instructions incorrectly states that the IBR application fee is $335.00. Ignore the old fee amount and only pay the correct current fee amount.

Next, the DWC announcement did not explicitly address the situation of providers who already paid the higher fees after 1/1/2015 but prior to this announcement. However, previous Newslines indicate that such providers will receive a refund of the fee paid in excess of the new fee schedule.

Finally, a reminder about how important it is to submit Second Bill Reviews (SBRs) to preserve the option to file IBRs. SBRs and IBRs are the only way to appeal incorrect payment, and you can’t file IBRs without first submitting SBRs.


Visit DaisyBill's Webinar Library, a free resource, to learn more about Second Bill Reviews for workers' comp:

WEBINAR LIBRARY

Search results for:

About Us

DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

Drop us a line with any news you would like us to share or any issue that concerns you.

intercom_chat_bubble_icon