Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 25 - Hospital Reimbursement Schedule, Billing Instruction and Maintenance Procedures
Section I-2539 - Annual Maintenance
Current through Register Vol. 50, No. 9, September 20, 2024
A. To ensure that the reimbursement for the procedures are as fair as possible, the Office of Workers' Compensation will require the self insured employer or carrier to submit the following information for claims incurred in the preceding period. This information will be reviewed and any changes to the maximum allowable reimbursement rates will be published.
B. Information Required. The information required for calculation of the reimbursement schedule will include:
Information |
Field Length |
Type |
FIP-Parish Code |
3 |
Numeric |
Provider Name |
35 |
Alpha Numeric |
Charge Amount |
10 |
Numeric |
Type of Service: Medical vs. Surgical* |
30 |
Alpha |
Length of Stay |
4 |
Numeric |
IP/OP indicator |
1 |
Alpha |
*The diagnosis/procedure code requiring the greatest resource consumption (severity) should be used to assign the correct category. |
C. Communication Format. The following is the current format, however, the Office of Workers' Compensation will establish the format on an annual basis to facilitate the review:
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.