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September 16, 2018
Benjamin Gluck Gives Up Representation Of Frontline Medical In Criminal Organization Munir Uwaydah Case In Downtown LA. Sergeant McCrillis Continues On The Witness Stand, Claiming Stand-Alone Public Documents Are Not Privileged.

September 13, 2018
First Division of Workers' Compensation (DWC) Pharmacy and Therapeutics Committee Meeting Scheduled for September 26th 2018 in Oakland, California

September 12, 2018
Judge King Takes 995 Motion Under Submission From The Defense in Sim Hoffman, M.D. Billing Fraud Case in Orange County. If Prosecution Prevails, Case Will Be Set For Trial Within 30 Days Of September 28, 2018.

September 8, 2018
California’s Department of Industrial Relations (DIR) and its Division of Workers’ Compensation (DWC) Post Progress Report on Department’s Independent Medical Review (IMR) Program.



California Department of Workers’ Compensation Posts Fee Schedule Adjustments for Hospital Outpatient Departments/Ambulatory Surgical Centers
By Lonce Lamonte and Newsline from the California Department of Industrial Relations - March 8, 2018

The Division of Workers’ Compensation (DWC) has posted adjustments to the hospital outpatient departments and ambulatory surgical centers section of the official medical fee schedule (OMFS) to conform to changes in the Medicare payment system as required by Labor Code section 5307.1. The changes take effect March 15, 2018.

The public should take note of the following:

·         Recently added 42 C.F.R. section 419.71, Payment reduction for certain X-ray imaging services, became effective January 1, 2018. The OMFS adopts and incorporates by reference section 419.71, and related payment rules, addressing payment reduction for film X-ray imaging services and computed radiography imaging services.

·         Subdivision (a)(1) of section 9789.32 is corrected by deleting status indicator “Q4” from the table, for services rendered on or after December 15, 2016. Services assigned status indicator “Q4,” clinical laboratory services, are not considered a “supply, drug, device, blood product, or biological.” Thus, subdivision (a)(1) is not applicable to codes assigned status indicator “Q4.”

·         Composite APCs and comprehensive APCs payment rules are added and incorporated by reference by date of service. The adopted clarifying composite APCs and comprehensive APCs payment rules are declaratory of existing regulations.

More information and the adjustments to the hospital outpatient departments and ambulatory surgical centers section of the OMFS can be found on the DWC OMFS page.

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Lonce Lamonte, journalist, lonce@adjustercom.com, and the California Department of Industrial Relations' Newsline; dir.ca.gov 

 
 

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