Medical fee schedule
Term · Insurance and risk management · MLC-T-INS-002160
A state-mandated list of maximum allowable reimbursement amounts for medical services and procedures provided to injured workers under a workers' compensation claim. Insurers use this schedule to determine the payment for treatments, from office visits to surgical procedures, controlling medical costs within the system. Each state that uses a fee schedule develops its own set of codes and corresponding maximum prices, often based on Medicare's Resource-Based Relative Value Scale.
| Identifier | MLC-T-INS-002160 |
|---|---|
| Field | Insurance and risk management |
| Subject | Workers Compensation |
Record as JSON
{
"id": "MLC-T-INS-002160",
"term": "Medical fee schedule",
"field": "Insurance and risk management",
"definition": "A state-mandated list of maximum allowable reimbursement amounts for medical services and procedures provided to injured workers under a workers' compensation claim. Insurers use this schedule to determine the payment for treatments, from office visits to surgical procedures, controlling medical costs within the system. Each state that uses a fee schedule develops its own set of codes and corresponding maximum prices, often based on Medicare's Resource-Based Relative Value Scale.",
"subject": "Workers Compensation",
"url": "https://mlchart.com/terminology/insurance/medical-fee-schedule/"
}
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