SELECTED INDICATORS IN WORKERS’ COMPENSATION: A REPORT CARD FOR CALIFORNIANS
Another possible explanation for the differing trends in the average cost per report and the increasing frequency of the most complex examinations in Southern California is that psychiatric evaluations are more common in Southern California, although there has been a decrease in frequency for this region of 23 percent between 2001 and 2003. Psychiatric examinations are nearly always billed under the ML-104 code that is the most expensive.
Medical-Legal Cost Calculation
Total medical-legal costs are calculated by multiplying the number of PPD claims by the average number of medical-legal examinations per claim and by the average cost per medical-legal examination.
Number of PPD Claims * Average Number of Exams/Claim * Average Cost/Exam