The Division of Workers' Compensation (DWC) monitors the administration of workers' compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers' compensation benefits.
Workers' compensation is the nation's oldest social insurance program. It was adopted in most states, including California, during the second decade of the 20th century. The workers' compensation system is based on a trade-off between employers and employees.
The Division of Workers’ Compensation (DWC) monitors the administration of workers’ compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers’ compensation benefits.
Workers’ compensation is the nation’s oldest social insurance program. It was adopted in most states, including California, during the second decade of the 20th century. The workers’ compensation system is based on a trade-off between employers and employees. Employees are entitled to receive prompt, effective medical treatment for on-the-job injuries or illnesses no matter who is at fault and, in return, are prevented from suing employers over those injuries.
Unlike most social insurance programs, workers’ compensation benefits are not administered by a government agency. They are administered primarily by insurance companies and those employers secure enough to self-insure their workers’ compensation liability.
Beginning Sept. 1, final regulations for hospital outpatient departments (HOPD) and the ambulatory surgical center fee schedule section of the 2014 official medical fee schedule (OMFS) will take effect. The regulations include the 2014 OMFS resource-based relative value system (RBRVS) physician fee schedule for therapy services, diagnostic tests and other non-emergent, non-surgical services. Emergent and surgical procedures performed in the hospital outpatient setting will continue to be paid according to the Medicare outpatient prospective payment system. However, the payment multiplier has been updated to 121.2 percent. In addition, a new “facility only” payment category will be covered under the HOPD OMFS and paid using a 101.01 percent multiplier. The final regulations and RBRVS fact sheet are attached and available on the Division of Workers’ Compensation website, along with FAQs about the RBRVS. Questions about the final regulations can be sent to DWCFeeSchedule@dir.ca.gov.
This program is for executives of CHA-member hospitals only
Every year the HR landscape changes. Hospital employers need to stay on top of new laws and regulations, important case decisions and shifting enforcement positions that will impact operations and employee relations policies. There’s a lot to know. Expert faculty at the annual Labor and Employment Law seminar will do the analysis for you, explaining the issues in the context of health care operations.
The Division of Workers’ Compensation has adopted and filed an amendment to the hospital outpatient department (HOPD) and ambulatory surgical center fee schedule section of the official medical fee schedule (OMFS). The final regulations, effective Sept. 1, are very similar to the proposed regulations issued April 11.
CHA has submitted comments to the California Department of Industrial Relations, Division of Workers’ Compensation (DWC), regarding proposed modifications to the Official Medical Fee Schedule for hospital outpatient departments and ambulatory surgical centers.