Ambulatory Surgical Services Provided Under California Workers’ Compensation
California’s Official Medical Fee Schedule (OMFS) establishes the maximum allowable fee for medical services provided under the state’s workers compensation program unless the payer and provider contract for a different payment amount. The OMFS allows facility fees for surgical services performe...
| Main Author: | Barbara O. Wynn, John P. Caloyeras, and Nelson F. Soohoo |
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| Format: | eBook |
| Language: | Bahasa Inggris |
| Published: |
RAND Corporation
2014
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| Subjects: | |
| Online Access: |
http://oaipmh-jogjalib.umy.ac.idkatalog.php?opo=lihatDetilKatalog&id=52972 |
| id |
oai:lib.umy.ac.id:52972 |
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oai:lib.umy.ac.id:529722021-06-16T13:06:26ZAmbulatory Surgical Services Provided Under California Workers’ CompensationBarbara O. Wynn, John P. Caloyeras, and Nelson F. Soohoo Health Sciences, lawCalifornia’s Official Medical Fee Schedule (OMFS) establishes the maximum allowable fee for medical services provided under the state’s workers compensation program unless the payer and provider contract for a different payment amount. The OMFS allows facility fees for surgical services performed in an ambulatory surgical center. The allowances are based on the Medicare fee schedule for hospital outpatient services, which includes only services that the Centers for Medicare & Medicaid Services has determined can be safely performed in the outpatient setting on Medicare beneficiaries. It excludes services that Medicare has decided can only be performed on an inpatient basis, such as multi-level spinal fusions, and hip and knee replacements. California Senate Bill 863 requires that the Department of Industrial Relations study the feasibility of establishing facility fees for Medicare’s “inpatient only†procedures when they are performed on workers’ compensation patients in an ambulatory surgical center and report the study findings to the Senate Labor Committee and Assembly Insurance Committee. The Department asked RAND to examine the feasibility and appropriateness of including Medicare’s “inpatient only†procedures on the OMFS.RAND Corporation2014eBookebook 587Bahasa Inggrishttp://oaipmh-jogjalib.umy.ac.idkatalog.php?opo=lihatDetilKatalog&id=52972 |
| institution |
Universitas Muhammadiyah Yogyakarta |
| collection |
Perpustakaan Yogyakarta |
| language |
Bahasa Inggris |
| topic |
Health Sciences, law |
| spellingShingle |
Health Sciences, law Barbara O. Wynn, John P. Caloyeras, and Nelson F. Soohoo Ambulatory Surgical Services Provided Under California Workers’ Compensation |
| description |
California’s Official Medical Fee Schedule (OMFS) establishes the maximum allowable fee
for medical services provided under the state’s workers compensation program unless the payer
and provider contract for a different payment amount. The OMFS allows facility fees for surgical
services performed in an ambulatory surgical center. The allowances are based on the Medicare
fee schedule for hospital outpatient services, which includes only services that the Centers for
Medicare & Medicaid Services has determined can be safely performed in the outpatient setting
on Medicare beneficiaries. It excludes services that Medicare has decided can only be performed
on an inpatient basis, such as multi-level spinal fusions, and hip and knee replacements.
California Senate Bill 863 requires that the Department of Industrial Relations study the
feasibility of establishing facility fees for Medicare’s “inpatient only†procedures when they are
performed on workers’ compensation patients in an ambulatory surgical center and report the
study findings to the Senate Labor Committee and Assembly Insurance Committee. The
Department asked RAND to examine the feasibility and appropriateness of including Medicare’s
“inpatient only†procedures on the OMFS. |
| format |
eBook |
| author |
Barbara O. Wynn, John P. Caloyeras, and Nelson F. Soohoo |
| author_sort |
Barbara O. Wynn, John P. Caloyeras, and Nelson F. Soohoo |
| title |
Ambulatory Surgical Services Provided Under California Workers’ Compensation |
| title_short |
Ambulatory Surgical Services Provided Under California Workers’ Compensation |
| title_full |
Ambulatory Surgical Services Provided Under California Workers’ Compensation |
| title_fullStr |
Ambulatory Surgical Services Provided Under California Workers’ Compensation |
| title_full_unstemmed |
Ambulatory Surgical Services Provided Under California Workers’ Compensation |
| title_sort |
ambulatory surgical services provided under california workers’ compensation |
| publisher |
RAND Corporation |
| publishDate |
2014 |
| url |
http://oaipmh-jogjalib.umy.ac.idkatalog.php?opo=lihatDetilKatalog&id=52972 |
| isbn |
ebook 587 |
| _version_ |
1702748855728078848 |
| score |
14.79448 |