The Office of Workers’ Compensation (OWC) has published a proposal for clarification of the ICD-9 diagnosis codes for severe burns in the December Louisiana Register. Severe burns are treated as “automatic outliers” within the state hospital reimbursement structure and are paid at billed charges minus a 15 percent discount. There will be a public hearing about the rule change to be held on January 27th, 2015 at 9:30 AM at the Louisiana Workforce Commission office in Baton Rouge. The notice states that, “The proposed rule…will provide better guidance in reimbursement determinations which should result in decreased litigation over disputed reimbursement determinations.”
Read the full proposal in the Louisiana Register (pages 2706-7) here.