CHA News Article

Final OMFS Regulations for Hospital Outpatient Departments Effective Sept. 1

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.

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