California's Division of Workers' Compensation Posts Adjustments to Official Medical Fee Schedule (Hospital Outpatient Departments/Ambulatory Surgical Centers) By Lonce Lamonte and California's Department of Industrial Relations - April 1, 2018
The Division of Workers’ Compensation (DWC) has posted an order adjusting 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 Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule update Order adopts the following Centers for Medicare & Medicaid Services (CMS) Medicare changes:
The CMS Medicare Hospital Outpatient Prospective Payment System (OPPS) April 2018 Addendum A [Zip] quarterly update
The CMS Medicare OPPS April 2018 Addendum B [Zip] quarterly update
The CMS Ambulatory Surgical Center Payment System, April 2018 ASC Approved HCPCS Code and Payment Rates [zip], Column A entitled “HCPCS Code” of “Apr 2018 ASC AA” and Column A entitled “HCPCS Code” of “Apr 2018 ASC EE”
Certain sections of the CMS Medicare OPPS April 2018 Integrated Outpatient Code Editor (I/OCE), IntegOCEspecsV19.1 quarterly update.
Section 6 of the CMS April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS), Change Request (CR) 10515 (revised March 22, 2018), Transmittal R4005CP
The order adopting the OMFS adjustments is effective for services rendered on or after April 1, 2018 and is posted on the DWC website.
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Adjuster / Examiner Claims Examiner Santa Ana Unified School District Santa Ana, CA
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