CHA News Article

DWC Posts Adjustments to Official Medical Fee Schedule
Affects hospital outpatient departments, ambulatory surgical centers

The Division of Workers’ Compensation (DWC) has posted an order adjusting the hospital outpatient departments and ambulatory surgical centers section of the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system as required by the California Labor Code. Effective for services rendered on or after July 1, the order adopts the following changes:

  • For the Centers for Medicare & Medicaid Services (CMS) Medicare hospital outpatient prospective payment system, the July 1 Addenda A and B ZIP file quarterly updates
  • For the CMS ambulatory surgical center (ASC) payment system, the July ASC approved HCPCS code and payment rates ZIP file, Column A of “Jul 2017 ASC AA” and Column A of “Jul 2017 ASC EE”