DIR Reduces Fees for IMR and IBR:

DIR Reduces Fees for Independent Medical Review, Independent Bill Review, by 25 Percent

The Department of Industrial Relations (DIR) has announced a reduction in Independent Medical Review and Independent Bill Review fees effective April 1, 2014. These new fees represent a 25 percent reduction. Parties who submitted an IMR or IBR on or after April 1, 2014 will receive a refund in the amount of fees paid in excess of the new fee schedule. Reference Links on our website: "Contact/Helpful Links."

IMR Fees:

Any IMR application submitted on or after April 1, 2014 will be subject to the following fee schedule:

Standard IMRs Involving Non-Pharmacy Claims*

Previous Fee: $560 per IMR

Fee Effective April 1, 2014: $420 per IMR

Expedited IMRs Involving Non-Pharmacy Claims

Previous Fee: $685 per IMR

Fee Effective April 1, 2014: $515 per IMR

Standard IMRs Involving Pharmacy Only Claims**

Previous Fee: Not Applicable

Fee Effective April 1, 2014: $390 per IMRs

IMRs Terminated or Dismissed Not Forwarded to a Medical Professional Reviewer:

Previous Fee: $215 per IMR

Fee Effective April 1, 2014: $160 per IMR

IMRs Terminated or Dismissed After Case Forwarded to a Medical Professional Reviewer:

Previous Fee: $560 per IMR

Fee Effective April 1, 2014: $420 per IMR

IBR Fees:

Any IBR application submitted on or after April 1, 2014 will be subject to the following fee schedule.

Completed IBR

Previous Fee: $335 per IBR

Fee Effective April 1, 2014: $250 per IBR

Terminated IBR Not Sent to Review***

Previous Fee: $65 per IBR

Fee Effective April 1, 2014: $50 per IBR

* A “non-pharmacy-only” IMR is an IMR where not all treatments in dispute fall under the service category, “pharmaceuticals.”

** A “pharmacy-only” IMR is an IMR where all treatments in dispute fall under the service category “pharmaceuticals.”

*** Sending an IBR to review means assigning and providing the complete file to a certified coding specialist with the expertise necessary to evaluate and render decisions on all line items in dispute.

#workerscompensation #wcdefense #parkerirwin

Featured Posts
Recent Posts

© 1964 - 2020 by the Law Offices of Parker & Irwin, a Professional Corporation, Established in 1964 - All Rights Reserved.

This web site is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. Persons accessing this site are encouraged to seek independent counsel for advice regarding their individual legal issues.

LinkedIn.JPG