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					                                                                                                                   IME FEES Rule 5219.0500


                                                   10/1/1994 - 10/1/1995 - 10/1/1996 - 10/1/1997 - 10/1/1998 - 10/1/1999 - 10/1/2000 - 10/1/2001 - 10/1/2002 - 10/1/2003 - 10/1/2004 - 10/1/2005 - 10/1/2006 - 10/1/2007 - 10/1/2008 - 10/1/2009 - 10/1/2010 -
                                       12/1/1993 - 9/30/1995 9/30/1996 9/30/1997 9/30/1998 9/30/1999 9/30/2000 9/30/2001 9/30/2002 9/30/2003 * 9/30/2004 * 9/30/2005 * 9/30/2006 1 9/30/2007 9/30/2008 9/30/2009 9/30/2010 9/30/2011
            Subpart 3                   9/30/1994    1.65%       2.64%       3.76%       5.53%       4.70%       6.22%       4.39%       5.92%       2.80%       0.00%       1.50%       0.00%       0.73%       0.90%       4.10%       1.10%      -1.1400%
A(1) - record review - first 50
pages                                     $175.00     $177.89      $182.58      $189.45   $199.93     $209.32     $222.34     $232.10     $245.84     $252.73     $252.73     $256.52     $256.52      $258.39     $260.72     $271.40      $274.39     $271.26

A(2) - each additional 50 pages           $100.00     $101.65      $104.33      $108.26   $114.24     $119.61     $127.05     $132.63     $140.48     $144.42     $144.42     $146.58     $146.58      $147.65     $148.98     $155.09      $156.79     $155.01
B - obtain history and examine
employee                                  $275.00     $279.54      $286.92      $297.71   $314.17     $328.93     $349.39     $364.73     $386.32     $397.14     $397.14     $403.10     $403.10      $406.04     $409.70     $426.49      $431.18     $426.27

C - read, interpret, and analysis
of x rays, diagnostic images               $75.00       $76.24         $78.25    $81.19    $85.68      $89.71      $95.29      $99.47     $105.36     $108.31     $108.31     $109.94     $109.94      $110.74     $111.74     $116.32      $117.60     $116.26
D - written report, diagnosis,
analysis, treatment
recommendations                           $250.00     $254.13      $260.83      $270.64   $285.61     $299.03     $317.63     $331.58     $351.20     $361.04     $361.04     $366.45     $366.45      $369.13     $372.45     $387.72      $391.99     $387.52

E 2(b) - travel surcharge outside
of 7 county metro area                     $75.00       $76.24         $78.25    $81.19    $85.68      $89.71      $95.29      $99.47     $105.36     $108.31     $108.31     $109.94     $109.94      $110.74     $111.74     $116.32      $117.60     $116.26

F(1) - post exam supplemental
report w/in 6 months of exam              $150.00     $152.48      $156.50      $162.38   $171.36     $179.42     $190.58     $198.95     $210.72     $216.62     $216.62     $219.87     $219.87      $221.48     $223.47     $232.63      $235.19     $232.51

F(2) - review additional records
of more than 25 pages                     $100.00     $101.65      $104.33      $108.26   $114.24     $119.61     $127.05     $132.63     $140.48     $144.42     $144.42     $146.58     $146.58      $147.65     $148.98     $155.09      $156.79     $155.01
G(1) - IME canceled at least 3
business before exam                        $0.00        $0.00          $0.00     $0.00     $0.00       $0.00       $0.00       $0.00       $0.00       $0.00       $0.00       $0.00        $0.00       $0.00       $0.00        $0.00       $0.00          $0.00
G(2) - failure to appear or
canceled less than 3 business
before exam                               $400.00     $406.60      $417.33      $433.03   $456.97     $478.45     $508.21     $530.52     $561.93     $577.66     $577.66     $586.33     $586.33      $590.61     $595.92     $620.35      $627.18     $620.03
H(1) - deposition and court
appearance, review of new or
additional first 50 pages                 $175.00     $177.89      $182.58      $189.45   $199.93     $209.32     $222.34     $232.10     $245.84     $252.73     $252.73     $256.52     $256.52      $258.39     $260.72     $271.40      $274.39     $271.26

H(1) - each additional 50 pages           $100.00     $101.65      $104.33      $108.26   $114.24     $119.61     $127.05     $132.63     $140.48     $144.42     $144.42     $146.58     $146.58      $147.65     $148.98     $155.09      $156.79     $155.01

H(2) - review of previously
studied records, up to 50 pages            $75.00       $76.24         $78.25    $81.19    $85.68      $89.71      $95.29      $99.47     $105.36     $108.31     $108.31     $109.94     $109.94      $110.74     $111.74     $116.32      $117.60     $116.26

H(2) - each additional 50 pages            $37.50       $38.12         $39.13    $40.60    $42.84      $44.85      $47.64      $49.74      $52.68      $54.16      $54.16      $54.97       $54.97      $55.37      $55.87       $58.16      $58.80         $58.13
H(3) - deposition, per hour,
minimum of 2 hours                        $400.00     $406.60      $417.33      $433.03   $456.97     $478.45     $508.21     $530.52     $561.93     $577.66     $577.66     $586.33     $586.33      $590.61     $595.92     $620.35      $627.18     $620.03
H(4) - court appearance, per
hour, minimum of 3 hours                  $400.00     $406.60      $417.33      $433.03   $456.97     $478.45     $508.21     $530.52     $561.93     $577.66     $577.66     $586.33     $586.33      $590.61     $595.92     $620.35      $627.18     $620.03
H(5)(a) - cancellation fees for
depositions and court
appearances, canceled 6
business days before                        $0.00        $0.00          $0.00     $0.00     $0.00       $0.00       $0.00       $0.00       $0.00       $0.00       $0.00       $0.00        $0.00       $0.00       $0.00        $0.00       $0.00          $0.00
H(5)(b) - canceled on 5th, 4th, or
3rd business day before                   $500.00     $508.25      $521.67      $541.28   $571.22     $598.06     $635.26     $663.15     $702.41     $722.08     $722.08     $732.91     $732.91      $738.26     $744.90     $775.44      $783.97     $775.04
H(5)(c) - if canceled 2 business
days before                               $700.00     $711.55      $730.33      $757.80   $799.70     $837.29     $889.37     $928.41     $983.37   $1,010.91   $1,010.91   $1,026.07    $1,026.07   $1,033.56   $1,042.86    $1,085.62   $1,097.56   $1,085.05
H(5)(d) - if canceled one
business day before or on same
day                                       $800.00     $813.20      $834.67      $866.05   $913.94     $956.90   $1,016.42   $1,061.04   $1,123.85   $1,155.32   $1,155.32   $1,172.65    $1,172.65   $1,181.21   $1,191.84    $1,240.71   $1,254.36   $1,240.06
I - attorney conference other
than at time of deposition, 1
hour minimum                              $200.00     $203.30      $208.67      $216.51   $228.49     $239.23     $254.10     $265.26     $280.96     $288.83     $288.83     $293.16     $293.16      $295.30     $297.96     $310.18      $313.59     $310.01
J - per hour charge for
psychiatrists or psychologists
for review or analysis of medical
data                                      $200.00     $203.30      $208.67      $216.51   $228.49     $239.23     $254.10     $265.26     $280.96     $288.83     $288.83     $293.16     $293.16      $295.30     $297.96     $310.18      $313.59     $310.01


MN Rules Part 5219.0500, Subp. 4. Adjustments. On October 1, 1994, and on October 1 of each succeeding year, the fees in this part must be adjusted by the percentage determined under Minnesota Statutes, section 176.645, in the same manner as the
conversion factor of the relative value fee schedule is adjusted under Minnesota Statutes, section 176.136. This provision does not apply to expenses under subpart 3, item E, subitem (1) ...

*
    Based on Producer Price Index for offices of physicians (PPI-P).

1
 No annual adjustment to conversion factors to offset legislative changes in reimbursement for chiropractic conversion factor. IME fees are adjusted per MN Rules Part 5219.0500, Subp. 4 in the same manner as the adjustment of the conversion factors.
Because there is no annual adjustment in the conversion factors, there will be no adjustment in the IME fees on 10/1/2005.


                                                                                                                                                                                                                                                  July 30, 2010

				
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