Newsline No. 22-10 printer image Printer friendly

April 22, 2010

 

Division of Workers' Compensation posts list of facilities using "high cost outlier" payment methodology

The Division of Workers’ Compensation (DWC) has posted the updated list of hospital outpatient departments and ambulatory surgery centers who have opted for the alternate "high cost outlier" payment methodology under the official medical fee schedule (OMFS). 

These facilities, rather than being paid at 1.22 times the Medicare rate on all cases, are paid at 1.20 times the Medicare rate on all cases plus an additional payment for specific outlier cases. Only these facilities are entitled to be paid using the alternate method under Labor Code section 9789.33 (b).

The list can be found online at http://www.dir.ca.gov/dwc/medicalunit/costchrg.html

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