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The WC-104B form is available on the WCA website www. michigan.gov/wca. After completing the WC-104B you must print both sides of the form according to WCA format. 30. Medicare payment for ASC rate X 1. 30 The MAP for the procedures performed in an ASC/FSOF are listed on the WCA website under the ASC tab of the current HCS rules. The methodology for paying the ASC/FSOF is based upon the Medicare payment rate for an ASC times 1. The service using the appropriate CPT code no modifier required....
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Michigan workers compensation is a state-mandated insurance program that provides benefits to employees who suffer work-related injuries or illnesses.
Employers in Michigan are required to provide workers compensation coverage for their employees.
To file for Michigan workers compensation, employers must complete and submit the required forms to their insurance provider or the Michigan Workers' Compensation Agency.
The purpose of Michigan workers compensation is to provide medical benefits and wage replacement to employees who are injured or become ill due to their work.
Employers must report details of the injury or illness, the employee's wages, and any medical treatment provided.
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