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Public Contracts/Prevailing Wage

Workers Comp Study Project

Workers' Comp Study Project

Montana Facility Fee Schedule Archives

(a) The Montana Hospital Inpatient Services MS-DRG Reimbursement Fee

Complete Excel File Effective October 1, 2009 PDF
Complete Excel File Effective December 1, 2008 PDF

    (b) The Montana Hospital Outpatient and ASC Fee Schedule Organized by APC

    Complete Excel File April 1, 2011 PDF
    Complete Excel File January 1, 2011 PDF
    Complete Excel File October 1, 2010 PDF
    Complete Excel File July 1, 2010 PDF
    Complete Excel File April 1, 2010 PDF
    Complete Excel File January 1, 2010 PDF
    Complete Excel File October 1, 2009 PDF
    Complete Excel File July 1, 2009 PDF
    Complete Excel File April 1, 2009 PDF
    Complete Excel File Pre April 1, 2009 PDF

      (c) The Montana Hospital Outpatient and ASC Fee Schedule Organized  by CPT/HCPCS

      Complete Excel File April 1, 2011 PDF
      Complete Excel File January 1, 2011 PDF
      Complete Excel File October 1, 2010 PDF
      Complete Excel File July 1, 2010 PDF
      Complete Excel File April 1, 2010 PDF
      Complete Excel File January 1, 2010 PDF
      Complete Excel File October 1, 2009 PDF
      Complete Excel File July 1, 2009 PDF
      Complete Excel File April 1, 2009 PDF
      Complete Excel File Pre April 1, 2009 PDF

        (d) The Montana CCI Code Edits Listing
              Complete Excel File Zipped

        0001T-19999 Category III Codes and Surgery (Integumentary System) ZIP PDF
        20000-29999 Surgery (Musculoskeletal) ZIP PDF
        30000-39999 Surgery(Respiratory, Cardiovascular, Hemic and Lymphatic Systems) ZIP PDF
        40000-49999 Surgery(Digestive System) ZIP PDF
        50000-59999 Surgery(Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems) ZIP PDF
        60000-69999 Surgery(Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems) ZIP PDF
        70000-79999 Surgery Radiology Services ZIP PDF
        80000-89999 Pathology and Laboratory Services ZIP PDF
        90000-99999 Medicine Evaluation and Management Services ZIP PDF
        0001T-99999 All Mutually Excluded Codes ZIP PDF
           

          (e) The Montana RCC and other Montana RCC-based Calculations

          PDF

            (f) The Montana Status Indicator Codes

            Complete Excel File PDF

              (g) The Base Rates and Conversion Formulas Established by The Department

              PDF

                (h) Montana Hospital Rate Change Report

                Microsoft Excel (xls)

                Microsoft Word, Pg1 (doc)

                Microsoft Word, Pg2 (doc)

                Microsoft Word, Pg3 (doc)

                Montana Facility Fee Schedule

                Note: Should you have landed here as a result of search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the materials unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now.
                 

                (a) The Montana Hospital Inpatient Services MS-DRG Reimbursement Fee
                      Complete Excel File      PDF      Effective October 1, 2010

                (b) The Montana Hospital Outpatient and ASC Fee Schedule Organized by APC
                      Complete Excel File      PDF      Effective July 1, 2011

                (c) The Montana Hospital Outpatient and ASC Fee Schedule Organized by  CPT/HCPCS
                      Complete Excel File      PDF      Effective July 1, 2011

                (d) The Montana Ambulance Fee Schedule
                      PDF                                       Effective December 1, 2008

                (e) The Montana CCI Code Edits Listing
                      Complete Excel File Zipped

                0001T-19999 Category III Codes and Surgery (Integumentary System) ZIP PDF
                20000-29999 Surgery (Musculoskeletal) ZIP PDF
                30000-39999 Surgery(Respiratory, Cardiovascular, Hemic and Lymphatic Systems) ZIP PDF
                40000-49999 Surgery(Digestive System) ZIP PDF
                50000-59999 Surgery(Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems) ZIP PDF
                60000-69999 Surgery(Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems) ZIP PDF
                70000-79999 Surgery Radiology Services ZIP PDF
                80000-89999 Pathology and Laboratory Services ZIP PDF
                90000-99999 Medicine Evaluation and Management Services ZIP PDF
                0001T-99999 All Mutually Excluded Codes ZIP PDF
                   

                  (f) The Montana RCC and other Montana RCC-based Calculations
                       PDF

                  (g) The Montana Status Indicator Codes
                       Complete Excel File      PDF

                  (h) The Base Rates and Conversion Formulas Established by The Department
                       PDF

                  (i)  Facility Fee Schedule Archives

                  Note: Should you have landed here as a result of search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the materials unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now.
                   

                  (a) Proposed Montana Hospital Inpatient Services MS-DRG Reimbursement Fee
                        Complete Excel File      PDF

                  (b) Proposed Montana Hospital Outpatient and ASC Fee Schedule Organized by APC
                        Complete Excel File      PDF

                  (c) Proposed Montana Hospital Outpatient and ASC Fee Schedule Organized by  CPT/HCPCS
                        Complete Excel File      PDF

                  (d) Proposed Montana Ambulance Fee Schedule
                        Complete Excel File       PDF

                  (e) Proposed Montana CCI Code Edits Listing
                        Complete Text File Zipped

                    (f) Proposed Medically Unlikely Edits (MUEs)
                          Complete Excel File

                    (g) The Montana CCR and other Montana CCR-based Calculations
                          PDF

                    (h) The Montana Status Indicator Codes
                          Complete Excel File     PDF

                    (i) Place of Service Codes
                          Complete Excel File

                    (j) Modifiers
                          Complete Excel File

                    (k) Facility Fee Schedule Instruction Set for 2013
                          PDF

                     

                    Workers' Compensation Educational Conference

                    Workers' Compensation Educational Conference:

                    Understanding National and State Issues in Workers' Compensation 2007

                    On January 10-11, 2007, the Employment Relations Division held an educational conference on workers’ compensation in Helena at the Best Western Helena Great Northern. The conference, an outgrowth of the ongoing Workers’ Compensation Study Project, featured speakers discussing the current status and projected trends in workers’ compensation, both Montana-specific and nationally.

                    Montana Facility Fee Schedule Agreement

                     

                    The fee schedule was developed by the Montana Employment Relations Division. Because the fee schedule includes data that is proprietary to the American Medical Association, certain restrictions apply. These restrictions are set out below.

                    CPT codes and two-digit modifiers maintained in the Data are Copyright 2006 (or other such date of publication of CPT as defined by US copyright laws) the American Medical Association.

                    The five-character codes included in the Montana Workers’ Compensation Fee Schedule are obtained from Current Procedural Terminology (CPT®), copyright 2006 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and procedures performed by physicians.

                    The responsibility for the content of the Montana Workers’ Compensation Fee Schedule is with the Employment Relations Division and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable or related to any use, nonuse, or interpretation of information contained in the Montana Workers’ Compensation Fee Schedule. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. Any use of CPT outside of the Montana Workers’ Compensation Fee Schedule should refer to the most recent Current Procedural Terminology which contains the complete and most currrent listing of CPT codes abd descriptive terms.

                    READ THIS AGREEMENT CAREFULLY. CLICKING “I ACCEPT” AND ACCESSING THE DATA ACKNOWLEDGES YOUR ACCEPTANCE OF THE TERMS BELOW, WHICH APPLY TO ALL OF THE MATERIALS CONTAINED HEREIN.

                    U.S. GOVERNMENT RIGHTS. The Data includes CPT which is commercial technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 N. State Street Chicago IL 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(3) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

                    CPT only are copyright 2007 American Medical Association. All Rights Reserved. CPT is a trademark of the American Medical Association (AMA).

                    Relative Value Guide (c) 2007 American Society of Anesthesiologists. All Rights Reserved. Relative Value Guide is a trademark of the American Society of Anesthesiologists.

                    RVG is a relative value study and not a fee schedule. It is intended only as a guide. ASA does not directly or indirectly practice medicine or dispense medical services. ASA assumes no liability for data contained or not contained herein.

                    You, your employees and agents are authorized to use CPT only as contained in the Official Montana Employment Relations Division Facility Fee Schedule Web Site solely for your own personal use in directly participating in healthcare programs administered by the Montana Employment Relations Division. You acknowledge that AMA holds all copyright, trademark and other rights in CPT.

                    Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA Website, http://www.ama-assn.org/go/cpt.

                    Disclaimer of Warranties and Liabilities.

                    CPT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Fee schedules, relative values, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this product is with the Montana Employment Relations Division, and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.

                    This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

                    Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “I ACCEPT”.

                    I Accept                      I Do Not Accept

                    Status Meeting Information

                    Workers' Compensation Study Project Status Meeting Information

                    Workers' Compensation Study Project Status Meeting - December 4, 2006
                    Agenda
                    Minutes
                    Handouts
                    Montana Workers' Compensation Loss Study
                    PowerPoint presentation
                    Audio recording
                    Injury Prevention I - The Impact of Drug Use on Workplace Safety
                    PowerPoint presentation
                    Audio recording
                    Return to Work
                    PowerPoint presentation

                    Workers' Compensation Study Project Status Meeting - September 18, 2006
                    Agenda
                    Minutes
                    Handouts
                    Oregon's Workers' Compensation Premium Rate Ranking: An In-depth Look
                    Economic Metrics

                    Workers' Compensation Study Project Status Meeting - July 24, 2006
                    Agenda
                    Minutes
                    Handouts
                    WCRI Administrative Inventory Briefing
                    Medical Fee Schedules Comparison
                    Return to Work Study

                    Workers' Compensation Study Project Status Meeting - May 15, 2006
                    Agenda
                    Minutes
                    Handouts
                    Medical Definitions
                    MT Fee Schedule Comparisons
                    Treatment Guidelines and Cost Drivers

                    Workers' Compensation Study Project Status Meeting - April 17, 2006
                    Agenda
                    Minutes
                    Handouts
                    Medical Metrics Update and Proposed Survey Questions
                    Workers' Compensation Policy Review Template for Comparing States' Workers' Compensation Benefits and Costs-presentation- narrative

                    Workers' Compensation Study Project Status Meeting - March 20, 2006
                    Agenda
                    Minutes
                    Handouts
                    Possible Metrics For Use In Our Study - Comparisons With Other States
                    States Selected to Include in Study
                    Workers' Compensation Medical Costs
                    "Other Factors" To Consider In Comparing Workers' Compensation Insurance Systems: A System Funding Look at Oregon

                    Workers' Compensation Study Project Status Meeting - February 28, 2006
                    Agenda
                    Minutes
                    Handouts
                    Montana System Overview (presentation by Mike Taylor, NCCI)
                    Making Rates or How Do They Do That Actuarial Thing (Presentation by Mike Taylor,NCCI)

                    MT.gov