Audits will focus on timely and accurate reimbursement, bill reporting, and delivery of benefits.
Audits will focus on timely and accurate reimbursement, bill reporting, and delivery of benefits.
A November 5th meeting will review fee schedule revisions and certain reimbursement rules.
Requiring prior authorization would likely reduce utilization, and by extension reduce spend.
The AWP discount could go from a fixed 15% to a variable rate set by the BWC, with an annual review.
