Pennsylvania Code (Last Updated: April 5, 2016) |
Title 34. LABOR AND INDUSTRY |
PART VIII. Bureau of Workers Compensation |
Chapter 127. Workers Compensation Medical Cost Containment |
SubChapter B. MEDICAL FEES AND FEE REVIEW |
Section 127.124. Outpatient and end-stage renal dialysis payment
Latest version.
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(a) Payments to providers of outpatient and end-stage renal dialysis shall be calculated as follows: the Medicare composite rate, per treatment, shall be multiplied by 113%.
(b) Hospital outpatient ancillary services paid outside of the Medicare composite rate shall be reimbursed in accordance with § 127.119 (relating to payments for services using RCCs).
Notation
This section cited in 34 Pa. Code § 127.101 (relating to medical fee capsMedicare); 34 Pa. Code § 127.158 (relating to medical fee updates on and after January 1, 1995outpatient and end-stage renal dialysis).