March 13, 2015
Area(s) of Interest: Payor Issues and Reimbursement Workers' Compensation
The California Division of Workers’ Compensation (DWC) has implemented its annual adjustments to the California workers’ compensation resource-based relative value scale (RBRVS) fee schedule effective for dates of service on or after March 1, 2015.
Under the RBRVS Physician Fee Schedule regulations, located under “Physician services” on DWC’s Official Medical Fee Schedule (OMFS) webpage, the calculations to determine maximum allowable amounts for each code incorporate a number of factors, including the assigned relative value units for each code along with the yearly adjusted conversion factor determined by DWC. DWC updates these factors annually respective of changes in the Medicare payment system.
DWC has reiterated that will not be publishing a composite fee schedule for physicians to access. Physicians seeking a streamlined method of determining correct reimbursement amounts for workers’ compensation medical services can contact DaisyBill, which offers an easy-to-use OMFS Calculator.