California DWC Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services) By Lonce Lamonte and the DWC Newsline - March 23, 2020
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 RVU20B April 1, 2020 quarterly update
National Correct Coding Initiative Practitioner Procedure to Procedure (PTP) Edits April 1, 2020 quarterly update
National Correct Coding Initiative Medically Unlikely Edits April 1, 2020 quarterly update (excluding MUE “0” value codes)
CMS’ ZIP Code to Carrier Locality files April 1, 2020 quarterly update, for Geographic Practice Cost Index (GPCI) locality mapping
The order adopting the OMFS adjustments is effective for services rendered on or after April 1, 2020 and can be found on the DWC website.
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lonce@adjustercom.com, Lonce Lamonte, journalist and editor, with the DIR Newsline release of March 23, 2020
Adjuster / Examiner Claims Examiner Santa Ana Unified School District Santa Ana, CA