California’s Workers’ Compensation Advisory Board Proposes 40-50% Cut in ASC Reimbursement

The California Division of Workers’ Compensation announced plans to reduce ASC reimbursements to 120 percent of the Medicare ASC rate as part of a larger plan to reduce state workers’ compensation costs by $1.2 billion, according to the California Ambulatory Surgery Association.

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California ASCs are currently reimbursed at 120 percent of the Medicare HOPD rate, and a switch to calculating reimbursement using ASC rates represents a 40-50 percent cut in reimbursements to ASCs.

CASA has objected strongly to this approach and has provided written comments to DWC.

DWC recently announced it will be holding a public stakeholder meeting to receive input on the issue. CASA is encouraging those in the ASC industry to attend. The meeting will be held Thursday, May 27 from 10am-12pm at the Elihu M. Harris State Office Building, Room 2, in Oakland, Calif. Interested parties should RVSP for to meeting by contacting Maureen Gray at mgray@dir.ca.gov or (510) 286-0676.

Learn more about CASA.

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