Pennsylvania Code
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
CALCULATIONS
- Section 127.101 - Medical fee caps-Medicare
- Section 127.102 - Medical fee caps-usual and customary charge
- Section 127.103 - Outpatient providers subject to the Medicare fee schedule-generally
- Section 127.104 - Outpatient providers subject to the Medicare fee schedule-physicians
- Section 127.105 - Outpatient providers subject to the Medicare fee schedule-chiropractors
- Section 127.106 - Outpatient providers subject to the Medicare fee schedule-spinal manipulation performed by Doctors of Osteopathic Medicine
- Section 127.107 - Outpatient providers subject to the Medicare fee schedule-physical therapy centers and independent physical therapists
- Section 127.108 - Durable medical equipment and home infusion therapy
- Section 127.109 - Supplies and services not covered by fee schedule
- Section 127.110 - Inpatient acute care providers-generally
- Section 127.111 - Inpatient acute care providers-DRG payments
- Section 127.112 - Inpatient acute care providers-capital-related costs
- Section 127.113 - Inpatient acute care providers-medical education costs
- Section 127.114 - Inpatient acute care providers-outliers
- Section 127.115 - Inpatient acute care providers-disproportionate-share hospitals
- Section 127.116 - Inpatient acute care providers-Medicare-dependent small rural hospitals, sole-community hospitals and Medicare-geographically reclassified hospitals
- Section 127.117 - Outpatient acute care providers, specialty hospitals and other cost-reimbursed providers not subject to the Medicare fee schedule
- Section 127.118 - RCCs-generally
- Section 127.119 - Payments for services using RCCs
- Section 127.120 - RCCs-comprehensive outpatient rehabilitation facilities (CORFs) and outpatient physical therapy centers
- Section 127.121 - Cost-reimbursed providers-medical education costs
- Section 127.122 - Skilled nursing facilities
- Section 127.123 - Hospital-based and freestanding home health care providers
- Section 127.124 - Outpatient and end-stage renal dialysis payment
- Section 127.125 - ASCs
- Section 127.126 - New providers
- Section 127.127 - Mergers and acquisitions
- Section 127.128 - Trauma centers and burn facilities-exemption from fee caps
- Section 127.129 - Out-of-State medical treatment
- Section 127.130 - Special reports
- Section 127.131 - Payments for prescription drugs and pharmaceuticals-generally
- Section 127.132 - Payments for prescription drugs and pharmaceuticals-direct payment
- Section 127.133 - Payments for prescription drugs and pharmaceuticals-effect of denial of coverage by insurers
- Section 127.134 - Payments for prescription drugs and pharmaceuticals-ancillary services of health care providers
- Section 127.135 - Payments for prescription drugs and pharmaceuticals-drugs dispensed at a physician's office
Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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