Overview

Rate setting is the process for determining a payment amount that a payer reimburses to a provider for the provision of a service.

The WCMBP System gives you a comprehensive set of online web pages and associated processes to assist you in viewing, adding, and updating Rates information. Within the system authorized user have the ability to perform the following functions:

  • Add Rates – Add new rates to the procedure/revenue file as instructed by DOL

  • Upload Rates – to add new or updated rates

  • Modify Rates – Change rates as directed by DOL

  • Approve or Reject Rates – Approve new or updated rates, and reject rates as instructed by DOL

  • View History – To see the rate change history of a given procedure/revenue code

Use the processes in the following sections to view information within the WCMBP System Rate Settings menu. The user must have security authorization to view the Rates data.

Related Topics

Anesthesia Base Units

Procedure RVU

File Status

Proc/Svc/Revenue Rates

GSA

Cost to Charge Ratio

Charge Mode