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| | California DWC Posts Correction to Official Medical Fee Schedule (Hospital Outpatient Departments and Ambulatory Surgical Centers)
By Lonce LaMon and the California Department of Industrial Relations - March 2, 2017
The Division of Workers’ Compensation (DWC) has posted a correction to the Hospital Outpatient Departments/Ambulatory Surgical Centers portion of the Official Medical Fee Schedule. The correction, reflected in an Administrative Director order, replaces Table B found at California Code of Regulations, Title 8, section 9789.35, with a revised Table B. The order applies to services rendered on or after December 15, 2016.
The Table B replaced by the order inadvertently listed certain hospital outpatient departments twice with different hospital-specific wage indexes and wage-adjusted conversion factors. This table is now superseded with a revised table that deletes the incorrect duplicate entries.
The affected hospital outpatient departments and the correct wage indexes and wage-adjusted conversion factors are as follows:
|
Medicare Provider Number
|
Name
|
Hospital-Specific Wage Index
|
Wage-Adjusted Conversion Factor
|
|
050767
|
KAISER FOUNDATION HOSPITAL - VACAVILLE
|
1.6425
|
$105.89
|
|
050769
|
HOAG ORTHOPEDIC INSTITUTE
|
1.3012
|
$90.24
|
|
050770
|
LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA
|
1.3012
|
$90.24
|
|
050771
|
COAST PLAZA HOSPITAL
|
1.3012
|
$90.24
|
|
050772
|
KAISER FOUNDATION HOSPITAL - ROSEVILLE
|
1.5686
|
$102.50
|
|
050773
|
SAN LEANDRO HOSPITAL
|
1.7175
|
$109.32
|
The December 15, 2016 effective date remains the same. The order can be found at the DWC website’s OMFS page. Revised Table B is attached to the order.
lonce@adjustercom.com, Lonce LaMon, adjustercom, publisher; the California Department on Industrial Relations, news release of February 28th 2017.
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