OMFS
CA OMFS Inpatient Hospital Fee Schedule Update
Nov 29, 2018
CA OMFS Inpatient Hospital Fee Schedule Update
California’s Division of Workers’ Compensation (DWC) posted an adjustment to the Inpatient Hospital section of the Official Medical Fee Schedule (OMFS), effective for dischar...
The 5 Point Checklist for CPT Codes 99358 and 99359
Nov 18, 2018
The 5 Point Checklist for CPT Codes 99358 and 99359
The 2017 Physician Fee Schedule, officially adopted by the California Division of Workers’ Compensation (DWC) for dates of service on or after March 1, includes a number of s...
It's Official: GPCI Reimbursement Adjustments Coming to CA Workers' Comp
Oct 5, 2018
It's Official: GPCI Reimbursement Adjustments Coming to CA Workers' Comp
California’s Division of Workers’ Compensation (DWC) has pulled the trigger: Geographic Practice Cost Indices (GPCI) will take effect on January 1, 2019. GPCI will divide the...
CA OMFS Update: Outpatient/ASC Changes Effective October 1
Oct 4, 2018
CA OMFS Update: Outpatient/ASC Changes Effective October 1
California’s Division of Workers’ Compensation (DWC) ordered updates to the Hospital Outpatient and Ambulatory Surgical Center (ASC) portion of the Official Medical Fee Sched...
CA DWC Proposes Pharma Fee Schedule Changes, Seeks Public Comment
Oct 3, 2018
CA DWC Proposes Pharma Fee Schedule Changes, Seeks Public Comment
California’s Division of Workers’ Compensation (DWC) proposed significant changes to the Pharmaceutical Fee Schedule. The proposals would bring pharmaceutical reimbursement c...
CA OMFS: New Billing Codes for Physician Fee Schedule
Sep 27, 2018
CA OMFS: New Billing Codes for Physician Fee Schedule
California’s Division of Workers’ Compensation (DWC) ordered updates to the Physician and Non-Physician Practitioner portion of Official Medical Fee Schedule (OMFS), effectiv...
Time and Billable Units for CPT Codes 99358 and 99359
Sep 19, 2018
Time and Billable Units for CPT Codes 99358 and 99359
*Update: The 2021 OMFS updates drastically changed how E/M codes are billeddrastically changed how E/M codes are billed.*Since an update to Califo...
CA Pharmaceutical Fee File Corrected
Sep 12, 2018
CA Pharmaceutical Fee File Corrected
Providers, take note: California’s Division of Workers’ Compensation (DWC) announced that the Medi-Cal pharmaceutical fee data file, updated weekly, was replaced for the week...
CA: Location-Based Adjustments Set to Take Effect in 2019
Sep 10, 2018
CA: Location-Based Adjustments Set to Take Effect in 2019
In April, the California Division of Workers’ Compensation (DWC) held a hearing regarding the inclusion of the Medicare Geographic Practice Cost Indices (GPCI) in the Physici...
CA Pathology/Clinical Laboratory Billing: NCCI Edits Do Not Apply
Sep 6, 2018
CA Pathology/Clinical Laboratory Billing: NCCI Edits Do Not Apply
Medicare’s National Correct Coding Initiative (NCCI) complicates California workers’ comp billing, to say the least. NCCI edits are the source of much confusion, as pr...
CA DWC Revises OMFS Update, Resolves MUE/Acupuncture Confusion
Aug 3, 2018
CA DWC Revises OMFS Update, Resolves MUE/Acupuncture Confusion
A recently adopted Medicare Medically Unlikely Edit (MUE) assigned a value of “0” to many common workers’ comp billing codes, including those for acupuncture services. Provid...
OMFS Update: Reimbursement Change For Pathology and Clinical Laboratory Services
Aug 1, 2018
OMFS Update: Reimbursement Change For Pathology and Clinical Laboratory Services
California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule, bringing the OMF...