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Regulations



 
9789.24....Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay
For discharges on or after January 1, 2004, diagnostic related groups, relative weights, and geometric mean length of stay by date of discharge, are incorporated by ...more
 
 
9789.25....Federal Regulations, Federal Register Notices, and Payment Impact File by Date of Discharge
...more
 
 
9789.30....Hospital Outpatient Departments and Ambulatory Surgical Centers - Definitions
  (b) “Ambulatory Payment Classifications (APC)” means the Centers for Medicare & Medicaid Services' (CMS) list of ambulatory payment classifications of ...more
 
 
9789.31....Hospital Outpatient Departments and Ambulatory Surgical Centers - Adoption of Standards
(a) The Administrative Director incorporates by reference, the Centers for Medicare and Medicaid Services' (CMS) Hospital Outpatient Prospective Payment System (HOPPS) ...more
 
 
9789.32....Outpatient Hospital Departments and Ambulatory Surgical Centers Fee Schedule - Applicability
  (d) Hospital Outpatient Departments and ASCs should utilize other applicable parts of the OMFS to determine maximum allowable fees for services or goods not covered ...more
 
 
9789.33....Hospital Outpatient Departments and Ambulatory Surgical Centers Fee Schedule - Determination of Maximum Reasonable Fee
The maximum payment rate for ASCs and non-listed hospitals can be determined according to Table A and subdivision (a).   The maximum payment rate for the listed ...more
 
 
9789.34....Table A
BOX 420603 SAN FRANCISCO, CA 94142   Note: Authority cited: Sections 133, 4603. 5, 5307. 1 and 5307. 3, Labor Code. Reference: Sections 4600, 4603. 2 and 5307. 1, ...more
 
 
9789.35....Table B
BOX 420603 SAN FRANCISCO, CA 94142   Note: Authority cited: Sections 133, 4603. 5, 5307. 1 and 5307. 3, Labor Code. Reference: Sections 4600, 4603. 2 and 5307. 1, ...more
 
 
9789.36....Update of Rules to Reflect Changes in the Medicare Payment System
Sections 9789. 30 through 9789. 39 shall be adjusted to conform to any relevant changes in the Medicare payment schedule, including mid-year changes, no later than 60 ...more
 
 
9789.37....DWC Form 15 Election for High Cost Outlier
Election for high cost outlier - DWC form 15 Note: Authority cited: Sections 133, 4603. 5, 5307. 1 and 5307. 3, Labor Code. New section filed 1-2-2004 as an emergency; ...more
 
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