CompFox AI Summary
The Workers' Compensation Appeals Board granted reconsideration, rescinding the prior order that awarded additional compensation to Cedars-Sinai Medical Center (CSMC). The Board determined that California Administrative Director Rule 9790, as amended, clarifies that regulations allowing payment in excess of the Official Medical Fee Schedule for extraordinary circumstances do not apply to services rendered after January 1, 2004. Therefore, CSMC is not entitled to additional payment beyond the $66,248.58 already paid, as this amount conforms to the 2004 Inpatient Official Medical Fee Schedule for services provided in 2011.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board granted reconsideration, rescinding the prior order that awarded additional compensation to Cedars-Sinai Medical Center (CSMC). The Board determined that California Administrative Director Rule 9790, as amended, clarifies that regulations allowing payment in excess of the Official Medical Fee Schedule for extraordinary circumstances do not apply to services rendered after January 1, 2004. Therefore, CSMC is not entitled to additional payment beyond the $66,248.58 already paid, as this amount conforms to the 2004 Inpatient Official Medical Fee Schedule for services provided in 2011.
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