DWC Posts Adjustments to Official Medical Fee Schedule Inpatient Hospital Section to Conform to Medicare Changes

The Division of Workers’ Compensation (DWC) has posted an adjustment to the Inpatient Hospital 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 effective date of the changes is for discharges occurring on or after January 27, 2020.

DWC has amended Title 8, California Code of Regulations, section 9789.25, subdivision (b) to conform to changes in the Medicare payment system in light of the increase in DRG weights for COVID-19 related discharges in accordance with Section 3710 of the CARES Act and MLN Matters Special Edition Article SE20015, dated April 15, 2020.

Further information and adjustments to the Inpatient Hospital section of the Official Medical Fee Schedule can be found on the DWC website’s OMFS page.

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