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DWC Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)
By Lonce LaMon and CA DIR News Release - January 26, 2017

California's Division of Workers’ Compensation (DWC) has posted an order adjusting the Physician Services/Non-Physician Practitioner Services section of the Official Medical Fee Schedule (OMFS) to conform to relevant 2017 changes in the Medicare payment system as required by Labor Code section 5307.1.

The Physician and Non-Physician Practitioner Fee Schedule based on the federal Resource Based Relative Value Scale (RBRVS) was adopted pursuant to the requirements of Senate Bill 863 (SB 863) and became effective for services rendered on or after January 1, 2014. As mandated by SB 863, the fee schedule started with separate conversion factors for surgery, radiology, and “all other services” in 2014 and transitions to a single conversion factor (CF) in 2017, for all services except anesthesia, which has its own CF. The 2017 CFs were adjusted for the cumulative change in the Medicare Economic Index and the relative value scale adjustment factors.

The acting administrative director update order adopting the OMFS adjustments effective for services rendered on or after March 1, 2017, can be found at the DWC OMFS page. An explanation of changes is attached to the order.

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lonce@adjustercom.com, Lonce LaMon, journalist, and the California Department of Industrial Relations, dir.ca.gov

 

 

 

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