California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of service on or after April 1, 2021. The state’s Division of Workers’ Compensation (DWC) announced OAL’s approval of the changes in a recent Newsline.
DaisyBill will host a webinar detailing the ways in which this rethinking of the MLFS will alter Medical-Legal billing.
The new Medical-Legal Fee Schedule is encoded in California Code of Regulations (CCR) Sections 9793 through 9795. It streamlines various aspects of Medical-Legal billing, most significantly by replacing time-based billing for codes ML101, ML104, and ML106 with a flat fee structure.
Other notable changes include:
The new MLFS also requires medical records to include a declaration asserting that the records comply with California Labor Code. Otherwise, the records in question will not be considered legally available to the physician for review. The relevant language states:
The DWC noted that some pending Medical-Legal evaluations already scheduled for on or after April 1 may not comply with the above declaration requirement. In such cases, the DWC suggests that the parties to the evaluations “communicate with each other to reach agreement on the handling” of the requirement.
DaisyBill will host a comprehensive webinar on Medical-Legal billing, including a thorough explanation of the new MLFS. We will announce the webinar date and open registration in this space — subscribe at the bottom of this page to secure your seat.
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