New fee reduction for Workers' Compensation Independent Medical Review and Independent Bill Review submissions March 17, 2015 General Insurance/Reimbursement, Department of Industrial Relations, Workers' Compensation 0 The California Department of Industrial Relations (DIR) announced that fees for submission of an Independent Medical Review (IMR) or Independent Bill Review (IBR) for workers’ compensation were reduced effective January 1, 2015. The following table summarizes the reduction in fees. Fee prior to December 31, 2014 Fee effective January 1, 2015 Independent Medical Review Standard IMRs involving non-pharmacy claims $420 $390 Standard IMRs involving pharmacy-only claims $390 $345 IMRs terminated or dismissed, not forwarded to a medical professional reviewer $160 $123 IMRs terminated or dismissed after case forwarded to a medical professional reviewer $420 $390 Expedited IMRs involving non-pharmacy claims (no change in fee) $515 $515 Independent Bill Review Completed IBR $250 $195 Terminated IBR not sent to review $50 $47.50 Physicians who submitted an IMR or IBR on or after January 1, 2015, will receive a refund for any fees paid in excess of the new fee schedule. Comments are closed.
