Workers' Comp Fee Conversion Factor Up 1.1 Percent in 2016

The Texas Department of Insurance (TDI) has posted the annual change to the Medical Fee Guideline conversion factors affecting workers' compensation system participants. Fee guidelines adopted by TDI's Division of Workers' Compensation (DWC) for non-network services and approved out-of-network services are based on the most current reimbursement methodologies, models, and values or weights used by the federal Centers for Medicare & Medicaid Services.

At TMA's urging, DWC established a conversion factor and an annual update, based on the Medicare Economic Index (MEI) to provide predictability and reflect changes in medical service delivery costs to system participants. MEI is a weighted average of price changes for goods and services used to deliver physician services. The MEI for 2016 reflects an increase of 1.1 percent.

More information on 2016 Medical Fee Guideline conversion factors and a table containing conversion factors from 2008 through 2016 is available on the TDI website 

Action, Dec. 1, 2015

Last Updated On

November 30, 2015

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