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Medical services pay the most disputed claim in the billing program



The use of California's employment compensation independent bill review program has declined over the past two years, but the program still received an average of 139 monthly bill review applications in 2019, with medical services billed remaining the most controversial claim, according to a report published on Tuesday by the California Division of Workers Compensation.

The department's IBR report showed that approximately $ 3.8 million was allocated to medical providers in case of employee compensation decisions, with providers receiving additional payments in seven out of ten bills. [19659002] In 2012, the Government of California, Jerry Brown, signed legislation to create the IBR, which came into force in 201

3, to resolve medical treatment and medical billing disputes. Previously, disputes were handled only by the Board of Appeal for Employee Compensation.

The report showed that the department received approximately 1600 IBR applications in 2018 and 2019, compared to 2000 filing in 2017.

Almost half of the IBR cases in 2019 included review requests for medical services, with “long-term evaluation and management service before and after / or after direct patient care ”as the most common complaint, followed by“ agreement on reimbursement levels ”and“ outpatient and outpatient hospital surgery according to the report.

Invoicing for medical services was also the most inverted claim, but the highest amounts for the highest compensation in controversial disputes were for hospital care and outpatient surgical centers.

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