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07/11/2017

DWC Posts Adjustments to Official Medical Fee Schedule (Hospital Outpatient Departments/Ambulatory Surgical Centers)

CASA WC Calculator Updated

The Division of Workers' Compensation (DWC) has posted adjustments to 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 Labor Code section 5307.1. The changes take effect July 1, 2017.

The Hospital Outpatient Departments and Ambulatory Surgical Centers fee schedule update Order adopts the following Medicare changes:

  • The Centers for Medicare & Medicaid Services (CMS) Medicare Hospital Outpatient Prospective Payment System (HOPPS) July 1, 2017 Addendum A ZIP file quarterly update
  • The Centers for Medicare & Medicaid Services (CMS) Medicare Hospital Outpatient Prospective Payment System (HOPPS) July 1, 2017 Addendum B ZIP file quarterly update
  • The Centers for Medicare & Medicaid Services (CMS) Ambulatory Surgical Center Payment System, July 2017 ASC Approved HCPCS Code and Payment Rates ZIP file, Column A of “Jul 2017 ASC AA” and Column A of “Jul 2017 ASC EE”

CASA has updated their DWC ASC payment calculator to reflect these changes. ASCs should use this update for services on or after July 1, 2017.

More information regarding the adjustments to the ambulatory surgical centers section of the OMFS can be found on the DWC website.

CASA Workers Compensation Calculator 7.1.17