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TENNESSEE WORKERS' COMPENSATION INSURANCE Form

TENNESSEE WORKERS' COMPENSATION INSURANCE Form

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how medical providers are reimbursed and how charges are buil for medical services work a little differently in workers comp cases due to Tennessee law these differences provide a maximum allowable amount the services can be reimbursed for this is called a fee schedule it's a list of predetermined prices for medical services specific to workplace injuries and illnesses this list is the maximum amount a healthcare provider can be paid for a particular service the reimbursement shall be the lesser of the provider's bill the fee listed in the rate Table after applying any applicable modifiers methodologies or exceptions listed in the rules or a negotiated rate if no fee is listed in the rate table or in the rules for a service 100% of Medicare is used negotiated discounts between the payer and the provider can be applied however billers need to be careful to ensure insurance discounts are applied properly negotiated discounts are not always accurately applied Tennessee law

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