2013 has proven to be a very busy year for the Division of Workers’ Compensation. It ended the busy year on December 30, 2013 by filing the certificate of compliance for the independent medical review (IMR) regulations and also the independent bill review (IBR) regulations. These were the last two sets of emergency regulations implementing SB 863, with the Office of Administrative Law (OAL).
SB 863 is a comprehensive reform of the workers’ compensation system that the DWC has been focusing on throughout 2013. It is meant to improve benefits, expedite medical disputes and other administrative improvements.
In the past year, the DWC has made many key accomplishments toward implementing SB 863. Some of these achievements are highlighted on WorkCompWire website and a link can be found at the end of this page. Below are the bulleted list that also can be found by visiting the source link.
- Revised the Ambulatory Surgical Center (ASC) Fee Schedule, reducing the payment from 120% to 80%.
- Revised the Inpatient Hospital Fee Schedule to reduce duplicate payments for spinal implant surgeries.
- Adopted the following regulations
- lien filing fee and activation fee,
- supplemental job displacement benefit (SJDB),
- qualified medical evaluation (QME),
- interpreter certification process,
- independent medical review (IMR), and
- independent bill review (IBR).
- Implemented the medical resource-based relative value scale (RBRVS) fee schedule that will go into effect as of Jan. 1, 2014.
- Began formal rulemaking for the predesignation/chiropractor primary treating physician regulations and to revise the medical provider network (MPN) regulations.
The Law Offices of Scott Warmuth are always informed about the changes that may affect your Workers’ Compensation benefits. Gathering the proper paperwork and filing the proper forms in a timely manner is crucial in a successful claim. Contact us toll FREE at 1-888-517-9888 or use our online contact form to get immediate help today.
Source: WorkCompWire, “CA DWC Files Certificate of Compliance for IMR and IBR Regulations with OAL,”
January 8, 2014