About Us Alliances News Education Resources
PHTS Logo TRAGSC Logo PHTS Logo
New Account?  Forgot Password?     
Viewpoint


E-zines


Media Releases
News

Commission approves changes to Medical Services Provider Manual
4/30/2018
 
At the Business Meeting on March 19, 2018, the South Carolina Workers’ Compensation Commission approved changes to the Medical Services Provider Manual (MSPM). The changes included approving a Conversion Factor of $50 and adopting the 2018 CMS CPT/HCPCS codes.

In August 2017 the Commission approved the annual update of the MSPM approving a Conversion Factor of $50 and the use of the CMS 2017 CPT/HICPCS codes. At that time, the stakeholders recommended the MSPM be updated to utilize the most recent Relative Values established by the Center for Medicare and Medicaid Services (CMS). The Commission directed the consultants to calculate several Conversion Factors and their respective financial impact on the system using the 2018 Relative Values; claims medical data in terms of frequency and amount paid to the provider reported to NCCI for the calendar year 2016, and the 10% limit imposed by Act 183 in 2012.

The updated MSPM became effective on April 1, 2018.

A copy of the updated MSPM may be purchased at www.wcc.sc.gov/insurance/Pages/MedicalServicesDivision.aspx.