NY workers comp question

Description

Title:

NY workers comp question

Text:

I spoke with an adjuster for a NY state workers comp claim. We have a
patient who needs a symes prosthesis. The adjuster advised me that the state
signed a law the limits reimbursement amounts. The allowable's she quoted were
significantly below the medicare allowable. She went on to say if we don't
feel that this price is fair they will pay 50% above our manufacturer invoices.
  I advised her that I can't believe any prosthetic company could provide
services at those rates. I think she may be playing me. Is there a law in NY
regarding O & P allowables?
 
Thank You,
David Falk, LPO, CPO
Falk P & O



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Citation

“NY workers comp question,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/229425.