Board Proposes Rule Establishing Maximum Facility Fee Charges and Maximum Charges for Professional Services

August 2009

(view proposed Rule)

The Board has proposed an amendment to Board Rule Chapter 5 which would establish maximum facility fee charges for hospital inpatient, outpatient and ambulatory surgical centers, as well as maximum charges for professional services. The amendment is based on a modified Medicare format for determining maximum charges. It also updates the CPT codes applicable to professional services by incorporating the 2009 Physician’s Current Procedural Terminology.