U.S. DOL OWCP - Developing Benchmarks for Listed Procedure Codes

The U.S. Department of Labor, Office of Workers' Compensation Programs (OWCP) is seeking information to better understand current industry capabilities and common practices for developing benchmarks for listed procedure codes. The OWCP administers four individual programs to mitigate the impact of work-related injuries through the provision and management of medical and other benefits. The OWCP seeks to obtain services for the delivery of benchmark data for CPT, HCPCS, and dental codes, as well as data distribution, identification of derived versus actual rates, and support of modifiers, multipliers, and conversion factors. • The anticipated requirements for Benchmark Data services include obtaining benchmark pricing data, ensuring benchmarks are statistically valid and transparent, and providing ongoing support for interpreting and updating underlying fee schedule data. • The OWCP is looking for vendors who can provide benchmark data for each service code based on national rates, state-based rates, ZIP codes, and rural or non-rural classifications. • The vendor should ensure that the rates provided represent one unit of service unless they are clearly identified as a different unit of measurement.