FEE SCHEDULE ALERT!! With virtually no input from the industry and with little recognition given to historic data provided to the Division of Workers' Compensation by CSIMS, the DWC has proposed to convert the Official Medical Fee Schedule (OMFS) from its current relative value system and ground rules to one based on the Resource Based Relative Value System (RBRVS) used by Medicare. The Division of Workers' Compensation's proposal, published a couple of weeks ago threatens the viability of your practice with adoption of a Medicare-based fee schedule. This proposal guarantees that The impact of CSIMS needs your partnership and support to fight for a fee schedule that will make up for more than 15 years of progressively lower and lower reimbursement while demanding more work and a higher level of expertise with each new regulatory requirement. Please help grow CSIMS' voice and membership today! If you need proof that we must grow our voice more than ever before, just read what will occur if the proposed fee schedule becomes law: • For the next four years (until 2013 and perhaps beyond) no new revenue will be available for medical treatment costs in • For most physicians, the first year conversion factor will be just under 105% of 2010 California Medicare. • No adjustment will be provided for future cost inflation - ever. • Not having far to go, • By 2013, no provider will receive more than 116% of 2010 California Medicare rates - unadjusted for inflation and certainly not taking into account political decisions during that span of time. • A modest inflation rate of 3.5% will take the 2013 reimbursement back down to the first year level of just under 105% or lower! • You may not be able to practice occupational medicine any longer • These facts are just the tip of the iceberg. There is much more that you must know to fully evaluate the impact of this proposal. Use the links found on this web page to familiarize yourself with the proposal and especially the spreadsheet comparisons that profile the impact of this proposal on different specialties. You are also urged to call CSIMS toll-free at 1-800-692-4199 to find out more. Click here to read the DWC Proposal together with an extensive list of comments, data and vital information! We need your help. Please respond today.
The Division's goal for implementation is October 1, 2010! Follow the link above for more information and pass the word to your colleagues about joining with CSIMS today![1] Don't take our word for it. Follow the links on this web page to read the studies, partially funded by CSIMS, that have been conducted since 2004 and the overwhelming input provided by others. Read how many states had to unwind their initial proposal after experiencing double-digit drops in the number of providers willing to participate at these rates. |
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