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California proposes modernization of compensation fee schedule



The California Division of Workers Compensation on Thursday released its final proposed medical-legal fee rules.

The proposed amendments to the medical-legal contribution plan, which has not been updated since 2006, involve to a large extent changing the compensation structure for comprehensive, follow-up and supplementary evaluations of compensation to workers. The proposed changes would change the remuneration from an hourly fee to a fixed fee with an additional remuneration per page for reviews that are more than 200 pages long.

The proposed amendments also include clarification of physicians' obligations when items are received without a certificate, and delete several billing codes and the addition of modifiers to the fee schedule for toxicological and oncological evaluations.

The California DWC held a public hearing on the changes in December and accepted public comments until December 1

5, 2020, with many physicians publicly disagreeing with the changes.

The final proposed amendments will now go to the Office of Administrative Law for approval. If approved, they will enter into force on 1 April

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