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

9789.37....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

9789.60....Durable Medical Equipment, Prosthetics, Orthotics, Supplies

(a) For services, equipment, or goods provided after January 1, 2004, the maximum reasonable reimbursement for durable medical equipment, supplies and materials, ...more

9790.1....Definitions

The “large urban add-on” is indicated by the post-reclassification urban/rural location published in the Payment Impact File at positions 229-235. 65, page ...more

9792....Determination of the Fee

(a) The fee is determined by the use of the Official Medical Fee Schedule as defined in Section 9791. 1 of these rules. A medical provider or a licensed health care ...more

9792.5.0....Definitions

  (b) “Billing Agent” means a person or entity that has contracted with a health care provider or health care facility to process bills for services provided ...more

9793....Definitions

  (b) “Contested claim” means any of the following:   (1) Where the claims administrator has rejected liability for a claimed benefit.   (2) Where the ...more

9795.1....Definitions

  (2) When appearing at a deposition, all or any part of 3. 5 hours.   (3) When appearing at an evening arbitration, all or any part of 3 hours. Reference: Sections ...more

9805.1....Data Collection, Evaluation, and Revision of Schedule

If the Administrative Director determines that there is not a sufficient amount of data to perform a statistically valid evaluation, the Administrative Director shall ...more

9811....Definitions

  (f) “Employee” includes dependent(s) in the event of any injury which results in death.   (h) “Employer” means any person or entity defined as ...more