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The Official Web Site of the State of South Carolina

The Commission has approved changes to the 2025 Medical Services Provider Manual. The full advisory and a summary of the changes can be accessed here

 

The South Carolina Workers’ Compensation Commission is holding its annual Claims Administration Made Easy (C.A.M.E) workshop on May 8, 2025.

Where: Cooperative Conference Center, 169 Laurelhurst Avenue, Columbia, SC, 29210

Register Here

 

Inpatient Hospital Charges

Claims for inpatient hospital stays are paid according to a payment system based on diagnosis related groups (DRGs). DRG is a system of classifying an inpatient stay based on the patient’s diagnosis, medical condition and any procedures performed.  Payments are hospital-specific to account for factors such as rural/urban, number of indigent patients, teaching hospital, etc.

Resources:
Update on "Pass Throughs" (PDF)