DWC Adjusts Hospital Outpatient and ASC Fee Schedules
Summary
The California Division of Workers’ Compensation (DWC) has posted adjustments to the Hospital Outpatient Departments and Ambulatory Surgical Centers section of the Official Medical Fee Schedule (OMFS). These changes conform to updates in the Medicare payment system and take effect on March 1, 2026.
What changed
The California Division of Workers’ Compensation (DWC) has updated the Official Medical Fee Schedule (OMFS) for Hospital Outpatient Departments and Ambulatory Surgical Centers. These adjustments are mandated by Labor Code section 5307.1 and align with recent changes in the Medicare payment system. The specific adjustments can be found on the DWC's OMFS page.
Healthcare providers and facilities billing under these fee schedules must ensure their billing practices reflect these adjustments by the effective date of March 1, 2026. Failure to comply with the updated fee schedule could lead to payment denials or underpayments. Compliance officers should review the updated OMFS to ensure accurate billing and coding.
What to do next
- Review the updated Official Medical Fee Schedule (OMFS) for Hospital Outpatient Departments and Ambulatory Surgical Centers.
- Update billing systems and practices to reflect the fee schedule adjustments by March 1, 2026.
Source document (simplified)
NEWSLINE Release Number: 2026-15 Date: January 30, 2026
DWC posts fee schedule adjustments for Hospital Outpatient Departments / Ambulatory Surgical Centers
The Division of Workers’ Compensation (DWC) has posted adjustments to the Hospital Outpatient Departments and Ambulatory Surgical Centers 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 changes take effect on March 1, 2026.
More information and the adjustments to the hospital outpatient departments and ambulatory surgical centers section of the OMFS can be found on DWC’s OMFS page.
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