California Division of Workers’ Compensation (DWC) Posts Adjustments to Official Medical Fee Schedule (Hospital Outpatient Departments/Ambulatory Surgical Centers) By Lonce Lamonte and the California DIR's Newsline - June 28, 2018
The Division of Workers’ Compensation 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) July 2018 Addendum A quarterly update
The CMS Medicare OPPS July 2018 Addendum B quarterly update
The CMS Ambulatory Surgical Center Payment System, July 2018 ASC Approved HCPCS Code and Payment Rates – Updated 06/27/2018, Column A entitled “HCPCS Code” of “Jul 2018 ASC AA” and Column A entitled “HCPCS Code” of “Jul 2018 ASC EE”
Certain sections of the CMS Medicare OPPS July 2018 Integrated Outpatient Code Editor (I/OCE), IntegOCEspecsV19.2 quarterly update
CMS July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS), Change Request (CR) 10781 (revised and released June 15, 2018), Transmittal R4075CP
The order adopting the OMFS adjustments is effective for services rendered on or after July 1, 2018 and is posted on the DWC website.
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Lonce Lamonte (lonce@adjustercom.com) and the California Department of Industrial Relations, Division of Workers' Compensation; https://www.dir.ca.gov/dwc/
Adjuster / Examiner Claims Examiner Santa Ana Unified School District Santa Ana, CA
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