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DWC Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)

23 Mar, 2023 Jaime Toby

                               

Sacremento,CA ( WorkersCompensation.com) - 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 April 1, 2023, second quarter changes:

  • CMS’ Medicare National Physician Fee Schedule Relative Value File effective April 1, 2023, quarterly update - RVU23B
  • CMS’ ZIP Code to Carrier Locality files effective April 1, 2023, quarterly update for Geographic Practice Cost Index (GPCI) locality mapping

There are no Medicare updates to the National Correct Coding Initiative Edits (Procedure to Procedure Edits; Medically Unlikely Edits); the first quarter NCCI files remain in effect.

The above OMFS adjustments are effective for services rendered on or after April 1, 2023.

The order adopting the above OMFS adjustments is posted on the physician services and non-physician practitioner services fee schedule webpage.

The California Department of Industrial Relations, established in 1927, protects and improves the health, safety, and economic well-being of over 18 million wage earners, and helps their employers comply with state labor laws. DIR is housed within the Labor & Workforce Development Agency

 

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