Newsline No. 07-07
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January 29, 2007  

Adjustment of Official Medical Fee Schedule for inpatient hospital services to conform to changes in Medicare payment system is posted on the DWC Web site

The Division of Workers' Compensation has posted an adjustment to the inpatient hospital services 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.

Title 8, California Code of Regulations, sections 9789.22 and 9789.24 are adjusted to conform to the correction of notice of Jan. 5, 2007, published in the Federal Register (Vol. 72, No. 3, FR 569) entitled, "Medicare Programs; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates; Final Fiscal Year 2007 Wage Indices and Payment Rates After Application of Revised Occupational Mix Adjustment to the Wage Index; Corrections" (CMS-1488-CN2), which corrects DRGs 525, 544 and 572 found in Table 5 of the addendum to the notice published on Oct. 11, 2006 (Vol. 71, FR 59886). Table 5 is also corrected to add notes to the end of the table.

The effective date of the changes will be Mar. 1, 2007. The adjustments can be found at http://www.dir.ca.gov/dwc/OMFS9904.htm.

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