DWC publishes official medical fee schedule adjustments (hospital outpatient departments/ambulatory surgery centers)

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The Director of the Department of Workers’ Compensation (DWC) has posted an order to align the hospital outpatient departments and ambulatory surgery centers sections of the Official Medical Fee Schedule (OMFS) with quarterly changes in the Medicare payment system. . Labor Code Section 5307.1.

The following Medicare & Medicaid Services (CMS) Medicare changes have been adopted in the Hospital Outpatient Departments and Ambulatory Surgery Center Rate Schedule Update Order.

Quarterly update for Q2 2023

  • CMS Medicare Hospital Outpatient Scheduled Payment System (OPPS) April 2023 Addendum A – Updated April 4, 2023
  • CMS Medicare OPPS April 2023 Addendum B – Updated April 4, 2023
  • CMS Ambulatory Surgery Center Payment System, April 2023 ASC Approved HCPCS Codes and Payment Rates – Updated April 3, 2023 – Column A entitled “HCPCS Code” and “2023 ASC AA April 2023” Column A titled “HCPCS Code” titled “ASC AA April 2023 ASC EE”
  • CMS Medicare OPPS April 2023 Integrated Outpatient Code Editor (I/OCE), IOCE Quarterly Data File

Orders adopting OMFS adjustments are valid for services delivered on or after May 1, 2023 and will be posted on the OMFS page of the DWC website.

Founded in 1927, the California Department of Labor Relations protects and improves the health, safety, and economic well-being of more than 18 million wage workers and helps employers comply with the state’s labor laws. I’m here. DIR is housed within the Workforce Development Agency

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