Any appropriately-licensed medical provider who is authorized by the employer or insurance carrier may treat workers' compensation claimants. The Medical Services Provider Manual (MSPM) outlines billing and payment policy for physicians and other health care professionals and provides the current schedule of fees. The fee schedule does not cover hospital charges, general dental, or services rendered outside of South Carolina.
At the Business Meeting on March 16, 2020, the Commission approved changes to the Medical Services Provider Manual (MSPM). The changes included approving a Conversion Factor of $50.3 and adopting the 2019 CMS CPT/HCPCS codes.
The effective date of the updated MSPM is April 1, 2020.
Click the following link for information on how to purchase the 2020 Medical Services Provider Manual. It is imperative that providers and carriers obtain the 2020 MSPM to assure compliance.