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News, data, & insights about workers' comp billing


Fee Alert: Quarter Four DWC Fee Schedule Updates

September 15, 2016 by Catherine Montgomery

The Division of Workers’ Compensation (DWC) posted the following adjustments to the Official Medical Fee Schedule (OMFS) for services rendered on or after October 1, 2016, in each case to conform to Medicare’s fourth quarter changes.Fee_Alert_Header.png

Physician Services /Non-Physician Practitioner Services

  • CMS Medicare National Physician Fee Schedule Relative Value File RVU16D
  • G0436 and G0437 become BR
  • National Correct Coding Initiative Physician/Practitioner Services CCI Edits
  • 43,279 changes
  • National Correct Coding Initiative Medically Unlikely Edits
  • 73 edits added
  • 3 edits removed
  • 96 edits updated

DaisyBill’s OMFS Calculator already incorporates these changes; for non-DaisyBillers, click the header link above for specifics and applicable fee schedule documents and files.

Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 

  • Rural ZIP code file updated and replaced
  • No changes to reimbursements

Try DaisyBill’s OMFS Calculator, included with our Work Comp Wizard


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DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

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