The North Carolina Industrial Commission has posted notice that three new or revised rules for its hospital fee schedule will go into effect on Wednesday.
The professional-services fee schedule provides new CPT code multipliers for 1995 North Carolina Medicare values. The institutional-services fee guide caps inpatient reimbursements at 190% of a hospital’s facility-specific amount established by the Centers for Medicare and Medicaid Studies. That multiplier will decrease to 180% on Jan. 1, 2016, and to 160% on Jan. 1, 2017. The outpatient institutional services fee guide caps reimburse...
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