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California Division of Workers’ Compensation Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)
By Lonce Lamonte and the DWC Newsline - June 13, 2019

The Division of Workers’ Compensation (DWC) has posted an order adjusting the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system as required by Labor Code section 5307.1.

The Physician and Non-Physician Practitioner Fee Schedule update order adopts the following Medicare changes:

  • CMS Medicare National Physician Fee Schedule Relative Value File RVU19C July 1, 2019 quarterly update
  • National Correct Coding Initiative Practitioner Procedure to Procedure (PTP) Edits July 1, 2019 quarterly update
  • National Correct Coding Initiative Medically Unlikely Edits July 1, 2019 quarterly update (excluding MUE “0” value codes)
  • CMS ZIP Code to Carrier Locality files July 1, 2019 quarterly update, for Geographic Practice Cost Index (GPCI) locality mapping

The order adopting the OMFS (Official Medical Fee Schedule) adjustments is effective for services rendered on or after July 1, 2019 and can be found on the DWC website.

###

 

lonce@adjustercom.com, Lonce Lamonte, journalist and editor, with the DWC Newsline release of June 13th2019

 
 

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