California Division of Workers’ Compensation Posts Final Proposed Medical-Legal Fee Schedule Regulations, Files with Office of Administrative Law By Lonce Lamonte and the DWC Newsline - February 25, 2021
The Division of Workers’ Compensation (DWC) has posted on its website final rulemaking documents filed with the Office of Administrative Law (OAL) for approval of the new Medical-Legal Fee Schedule (MLFS). The documents include the final text of amendments to the Medical-Legal Fee Schedule (MLFS) regulations, as well as forum comments and the DWC response, and action to the comments.
OAL will review the filing and advise the Division as to whether the new fee schedule will be approved. DWC has requested an effective date of April 1, 2021.
There were non-substantial amendments made to the regulations as posted on October 28, 2020. The non-substantial changes include:
Clarification of the Physician’s obligation when records are received without an attestation.
Clarification on billing for records previously reviewed under ML202.
Deletion of the billing code ML206 related to the unreimbursed supplemental report.
Addition of the ability of physicians who are certified as Qualified Medical Evaluators in the specialty of Internal Medicine or who are board certified in Internal Medicine to use modifiers 97 & 98 for toxicology and oncology evaluations.
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Lonce Lamonte, editor, lonce@adjustercom.com, and the California Division of Workers' Compensation
Adjuster / Examiner Claims Examiner Santa Ana Unified School District Santa Ana, CA
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