9788.2....Provider Request for Hearing

The respondent must set forth the legal and factual reason for the request for hearing.   (b) Failure to timely file a request for hearing shall constitute a waiver of ...more

9788.3....Suspension Hearing

(a) Upon receipt by the Administrative Director of the respondent's timely request for hearing, the Administrative Director shall issue a notice of hearing setting forth ...more

9788.4.... Suspension Notification

(a) Following the date that the Determination and Order re: Suspension is final, the Administrative Director shall provide written notification of the physician's, ...more

9789.10....Physician Services Rendered on or After July 1, 2004, but Before January 1, 2014 - Definitions

(a) “Basic value” means the unit value for an anesthesia procedure that is set forth in the Official Medical Fee Schedule 2003.   (b) “CMS” means ...more

9789.11....Physician Services Rendered on or After July 1, 2004, but Before January 1, 2014

The reduction rate for each procedure is set forth as the adjustment factor in Table A. Reimbursement for procedures that are reimbursed under OMFS 2003 at a rate below ...more

9789.110....Update of Rules to Reflect Changes in the Medicare Payment System

The OMFS shall be adjusted within 60 days to conform to any relevant changes in the Medicare and Medi-Cal payment systems as required by law. The Administrative Director ...more

9789.111....Effective Date of Fee Schedule Provisions

The OMFS regulations for Physician Services (Sections 9789. 10-9789. 11) are effective for services rendered on or after July 1, 2004, but before January 1, 2014. ...more

9789.12.1....Physician Fee Schedule: Official Medical Fee Schedule for Physician and Non-Physician Practitioner Services - For Services Rendered On or After January 1, 2014

  (2) Osteopathic Manipulation Codes (98925-98929) are to be used only by licensed Doctors of Osteopathy and Medical Doctors.   (c) Physicians and non-physician ...more

9789.12.10....Coding; Current Procedural Terminology©, Fourth Edition

See section 9789. 19 for the version of the CPT by date of service.   (b) Copies of Current Procedural Terminology©, Fourth Edition may be purchased from the ...more

9789.12.11....Evaluation and Management: Coding - New Patient; Documentation

Only one new patient visit is reimbursable to a single physician or medical group per specialty for evaluation of the same patient relating to the same incident, injury ...more