BUREAU OF WORKERS’ COMPENSATION

Since 1912, the Ohio Bureau of Workers’ Compensation (BWC) has provided medical and compensation benefits for work-related injuries, diseases and deaths. BWC provides insurance to about two-thirds of Ohio's work force. The remaining workers receive coverage directly through their self-insured employers.

With more than $19 billion in assets, BWC is the largest exclusive state-fund workers’ compensation system in the United States and the second largest underwriter of workers’ compensation insurance in the country. In fiscal year 2006, BWC provided workers’ compensation coverage to more than 288,000 employers, processed more than 188,000 new claims and paid out more than $1.9 billion in benefits. Premiums and assessments from employers was more than $2.1 billion.

Ohio’s workers’ compensation system is made up of two parts: BWC, the administrative and insurance arm of the system, and the Industrial Commission of Ohio, the claims adjudicative arm.

NEWS

3/20/2008::  BWC update memo on medical records requirements for hospital bills released.

2/28/2008::  Hospitals affected by the OHA lawsuit against the Ohio Bureau of Workers Compensation should receive notices and listings of claims from the Bureau today via email.  Addressed to hospital chief financial officers, the Bureau communication includes spreadsheets with detailed information about the affected claims and estimated adjustment amounts.  BWC has set up an email box, HospitalFeeAdjustments@bwc.state.oh.us, to handle hospital questions and comments.

2/18/2008:: At its Friday meeting, the OHA Board of Trustees endorsed BWC's plan to begin adjusting bill payments to Ohio hospitals underpaid as a result of the fee schedule that was the subject of OHA v. Ohio Bureau of Workers' Compensation. BWC has established a two-month timeline within which all affected providers should receive amounts equal to the underpayments on Health Partnership Program, state-fund inpatient bills between Oct. 1, 2005, and Dec. 31, 2006, and outpatient bills with service dates between Oct. 1, 2005, and Sept. 30, 2007.  The Board also strongly endorsed the OHA Finance Committee's recommendation that BWC communicate the terms of the plan to the BWC self-insured division and to notify self-insured employers of their potential obligation.

2/06/2008:: A memo updating the OHA Finance and ABC Committees on the OHA lawsuit on 2006 & 2007 HPP hospital payments, and  several other corrections to HPP payment systems was released today.  Available to members only.
 
11/12/2007:: OHA releases bulletin on BWC Hospital Payment Methodology Update. Available to members only.
 
11/8/2007:: BWC holds public hearing on revised Ohio Administrative Code Rule 4123-6-37.1 guiding HPP inpatient hospital reimbursement.  See proposed amended rule and OHA’s comment.
 
9/1/2007:: BWC posts hospital-specific cost-to-charge ratios (CCRs), updated to reflect state fiscal year 2006 Medicaid Cost Report data.  New CCRs are available in Chapter Three, pages 104 -118, of BWC Provider Billing and Reimbursement Manual.
 
 
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