In May 2015, Gov. Dayton signed into law two measures that will go into effect for hospital discharges occurring on or after January 1, 2016: 1) The state introduced a diagnosis related group (“DRG”) pricing model for inpatient services, where the workers’ compensation payment for inpatient service will be calculated based on the Medicare MS-DRG system; and 2) Insurers must within 30 days either deny the entire bill or pay 200% of the amount under Medicare when a DRG applies and hospitals submit … [Read more...]