New Ohio Fee Schedule Effective 01/01/2011

Post date: Mar 04, 2011 2:35:26 PM

Ohio released a new professional provider medical fee schedule effective 01/01/2011 along with a new cost to charge ratio table for in-patient and out-patient services. Also effective 02/01/2011 the Hospital inpatient reimbursement rate for out of state hospitals or hospitals that do not have a cost to charge ratio value has changed from 62% of billed charges to 61% of billed charges.  The reimbursement rate for outpatient services remains at 56% of billed charges.

These new fee schedules are available and will be included in the next upgrade of the software for customers that are on support. 

The fee schedules and rules are attached below.