California’s Division of Workers Compensation (DWC) recently announced a pair of important messages.
DWC has posted an example of a streamlined End of Medical Provider Network (MPN) Coverage Notice to the DWC website.
This streamlined notice is only used when an employer-based or insurer-based MPN ends its coverage and consolidates medical care into an MPN established by an entity that provides physician network services and the medical treatment of injured workers is not affected. Medical treatment will not be affected if the underlying network of providers is used by all of the MPNs involved.
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Since an injured worker’s medical treatment will remain with the same physician and continue with the MPN that is taking over medical care, a Transfer of Care Notice pursuant to California Code of Regulations, title 8, section 9767.9 is not required.
However, a complete employee notification must be provided pursuant to California Code of Regulations, title 8, section 9767.12(a), along with the streamlined End of Medical Provider Network (MPN) Coverage Notice. This sample gives three options to choose from to provide the complete employee notification.
Adjustment to Lab Section of Fee Schedule
Meantime, DWC posted an adjustment to the pathology and clinical laboratory section of the Official Medical Fee Schedule to conform to changes in the Medicare payment system, as required by Labor Code section 5307.1.
The update includes all changes identified in Center for Medicare and Medicaid Services (CMS) Change Request (CR) number CR 9028, which can be accessed on the CMS website.
The order is effective for services on or after Jan. 1, 2015.
The order adopting the adjustments can be found at the DWC website.
Author Kori Shafer-Stack, Editor, Amaxx Risk Solutions, Inc. is an expert in post-injury response procedures and part of the Amaxx team helping companies reduce their workers compensation costs by 20% to 50%. www.reduceyourworkerscomp.com. Contact: [email protected].
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