Are You Aware Of The New Update For CA OMFS: Physician Services (Q3 2024)?

The California Division of Workers’ Compensation (DWC) recently updated the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for workers’ compensation. This update, effective for all dates of service on or after July 1, 2024, adds 130 new procedure codes.

This update ensures that the OMFS is aligned with the relevant 2024 changes in the Medicare payment system, as mandated by California Labor Code Section 5307.1. The DWC made this announcement in a recent communication and posted the order adopting the update on their website.

For DoctorMGT clients, there’s no need for concern or additional actions. We’ve already integrated the new Healthcare Common Procedure Coding System (HCPCS) codes into our billing software, ensuring a seamless transition for all services rendered on or after July 1.

However, for providers not using DoctorMGT or any other Medical billing services California, it’s essential to update your systems to accommodate these new codes starting from July 1.

DWC Newsline Issued June 18, 2024

The update brings the OMFS in line with the relevant 2024 Medicare payment system changes, as California Labor Code Section 5307.1 requires.

Here are the 130 new HCPCS codes adopted by the DWC (and CMS) for the third quarter of 2024. Note that when Medicare does not assign an HCPCS code a Relative Value Unit (RVU), the reimbursement is calculated “By Report” (BR). California Code of Regulations Section 9789.12.4 provides guidelines for appropriate reimbursement amounts for BR codes.

Update: 130 HCPCS Codes Added to Physician Services Fee Schedule

However, Medical Billing and Coding Services California through DoctorMGT will automatically reflect the latest reimbursement rates, ensuring accuracy and compliance. If you have any questions regarding this fee schedule update, please use the chat function at the bottom right of this screen or email our experts at info@doctormgt.com.

By staying up-to-date with these changes, you can ensure your practice remains compliant and efficient. Don’t hesitate to reach out if you need any assistance with this transition.

Your efficiency and compliance are our top priorities at DoctorMGT.