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WORKERS COMPENSATION MEDICAL FEE

WORKERS COMPENSATION MEDICAL FEE 2025

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The document is a Request for Proposals (RFP) issued by the State of Louisiana's Office of Risk Management for a Workers' Compensation Medical Fee Schedule and Utilization Review Program. It outlines the purpose, background, goals, and objectives of the program, which aims to provide efficient managed care services for state employees covered under workers' compensation. The RFP details proposer qualifications, mandatory requirements, proposal instructions, evaluation criteria, and contract requirements. It emphasizes compliance with Louisiana Department of Labor standards and includes attachments specifying the scope of services and cost proposal forms.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is maximum medical recovery?

Definitions. Maximum medical recovery (MMR) occurs when there is a plateau in recovery and it is not likely that there will be any further significant improvement in the work-related injury or illness.

What is the medical fee schedule?

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.

What is a maximum medical improvement settlement?

MMI means that treatment options have been exhausted. Temporary disability payments are terminated and a settlement is agreed regarding the condition of the worker at this point.

What not to say to a workers comp doctor?

What You Shouldnt Tell Your Workers Comp Doctor Never lie about prior injuries, pre-existing conditions, or medical history. Never lie about the extent of your workplace injury or how it happened. Do not exaggerate your symptoms, including pain or functionality.

What is the workers compensation maximum limit for medical expenses?

Employee benefits Generally, there are no limits or exclusions to this coverage. Insurance providers will typically pay the full claim to cover any necessary treatments and medical bills for an employees injury, occupational disease, and rehab.

Who pays your health insurance while on workers compensation?

You should pay the health insurance premiums, if any, that you are normally required to. Your employer should continue to pay their portion of your health insurance as they have been doing.

WORKERS COMPENSATION MEDICAL FEE 2025

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