98 052 EFFECTIVE JULY 1, DEPARTMENT of CONSUMER and BUSINESS SERVICES WORKERS' COMPENSATION DIVISION OREGON ADMINISTRATIVE Form

Understanding the 98 052 Form

The 98 052 form, effective July 1, is a key document issued by the Department of Consumer and Business Services Workers' Compensation Division in Oregon. This form is part of the Oregon Administrative Rules, specifically Chapter 436, Division 009, which outlines the Oregon Medical Fee and Relative Value Schedule. It serves as a comprehensive guide to the medical fees and relative values applicable within the workers' compensation system in Oregon. This schedule is crucial for healthcare providers and insurers as it standardizes payments for medical services related to workplace injuries.

How to Use the 98 052 Form

Using the 98 052 form involves understanding its structure and the information it contains. Users should refer to the table of contents to navigate through various sections, which detail specific medical fees and relative values. This form is essential for ensuring compliance with Oregon's workers' compensation regulations. Healthcare providers can utilize this form to determine appropriate billing amounts for services rendered to injured workers, ensuring that they are compensated fairly and in accordance with state guidelines.

Obtaining the 98 052 Form

The 98 052 form can be obtained directly from the Department of Consumer and Business Services website or through authorized distributors. It is important for users to ensure they are accessing the most current version of the form, as updates may occur periodically. Additionally, healthcare providers and insurers may also receive copies through professional associations or industry groups that focus on workers' compensation in Oregon.

Key Elements of the 98 052 Form

This form includes several critical elements that users must be aware of. It outlines the medical fee schedule, which specifies the maximum allowable fees for various medical services. The relative value units (RVUs) assigned to each service are also detailed, providing a basis for calculating reimbursements. Furthermore, the form may include guidelines for billing practices, ensuring that all parties adhere to the established rules and regulations within the workers' compensation system.

Legal Use of the 98 052 Form

The legal use of the 98 052 form is essential for compliance with Oregon's workers' compensation laws. It serves as a legal document that supports the billing process for medical services provided to injured workers. By using this form, healthcare providers can demonstrate adherence to state regulations, which is crucial in case of disputes regarding payments or services rendered. Understanding the legal implications of this form helps ensure that all transactions are conducted within the framework of the law.

Examples of Using the 98 052 Form

Examples of using the 98 052 form include scenarios where healthcare providers bill for services rendered to injured workers. For instance, a physical therapist may reference the medical fee schedule to determine the appropriate amount to charge for rehabilitation services. Additionally, insurers may use the form to verify claims and ensure that the billed amounts align with the established fees. These examples illustrate the practical applications of the form in everyday transactions within the workers' compensation system.