What Providers Need to Know - Archived Updates
July 8, 2024
Deletion of drafted DME PARs with updated HCPCS codes
The new Official New York Workers' Compensation Durable Medical Equipment (DME) Fee Schedule is now in effect. As a result, DME PARs saved in OnBoard as drafts were automatically deleted from the Draft eForms tab if they contained Healthcare Common Procedure Coding System (HCPCS) codes that were updated in the DME Fee Schedule. This step is necessary to prevent errors within the OnBoard application as HCPCS codes are updated.
Any draft DME PARs including HCPCS codes that were recently updated by the new DME Fee Schedule (effective June 28, 2024), were removed from the system on the evening of June 27, 2024.
Read more in a notification dated June 27, 2024 .
Revised inpatient case payment rates for Northern Dutchess Hospital, Vassar Brothers Medical Center, and Putnam Hospital effective January 1, 2020 - December 31, 2023
The Office of Health Insurance Programs (OHIP) has calculated revised inpatient rates of reimbursement as a result of rate appeal numbers 929501, 320201, 929502 and 320202, and 929503 and 320203. The revised rates are for inpatient case payment rates at Northern Dutchess Hospital, Vassar Brothers Medical Center, and Putnam Hospital effective January 1, 2020 - December 31, 2023, processed by OHIP and approved by the New York State Division of the Budget.
Read more in Subject Number 046-1691.
Board targets fall 2024 return of in-person hearings
The Board is pleased to announce that we are targeting a fall 2024 opening for multiple hearing locations/customer service centers across the state.
Read more in a notification dated June 14, 2024 .
Fall conference
The Board is hosting a conference at the Empire State Plaza in Albany, NY on October 18, 2024. This full-day program is targeted to all who have a professional interest in the New York State workers' compensation system. Multiple CLEs and CMEs will be available. Sign up for email/text notifications to receive complete details and registration information in the coming months.
Read more in a notification dated May 1, 2024 .
New maximum weekly benefit rate
The maximum weekly benefit rate will be $1,171.46 for compensable lost time for workers' compensation claims with dates of injury during the period from July 1, 2024, through June 30, 2025.
Read more in Subject Number 046-1678.
Additional criteria for Section 32 Waiver Agreements reviewed without a hearing
Effective July 1, 2024, the Board will utilize a desk review process, as opposed to a formal hearing, to review Section 32 waiver agreements involving claimants who are represented by counsel, in which the gross settlement amount is $10,000.00 or less.
Read more in Subject Number 046-1683.
Reminders
Interested in treating injured workers? If you are interested in applying for Board authorization to treat injured workers, the process is easy and is done online. Read more about becoming authorized here on the Board's website.
The What Providers Need to Know section of the Board's website features a one-stop-shop that walks health care providers through getting started in the workers' compensation system, treating injured workers, billing for services, and more.
Telehealth is now a permanent option in the workers' compensation system. Read more in Subject Number 046-1613.
Use of the CMS-1500 form is mandatory. Visit CMS-1500 initiative for more details and send your questions to CMS-1500@wcb.ny.gov.
Visit the Board's website for OnBoard training guides, webinar recordings, and other resources.
Efficiency Enhancements is a new communication with tips and best practices on using Board systems, processes, and forms in the most efficient, effective manner. Sign up to receive these, and other updates, straight to your inbox.
The Board is hosting free COVID-19 & workers' comp webinars. The Board has been hosting a series of webinars to aid workers with long COVID workers' compensation claims. Additional dates will be added soon!
The latest versions of several Paid Family Leave presentations are now available, including family care, foster care/adoption, military leave, and bonding. Visit the Paid Family Leave website for more information.
Stay Informed!
Check out the Board's Health Care Providers Recorded Webinars web page for past webinars.
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