13031870, 69L-7.602 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 13031870

Notice of Development of Rulemaking

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Workers' Compensation

Chapter:

WORKERS' COMPENSATION MEDICAL REIMBURSEMENT AND UTILIZATION REVIEW

Overview

RULE:

69L-7.602

Florida Workers' Compensation Medical Services Billing, Filing and Reporting Rule

PURPOSE:

The proposed rule reduces regulatory burdens placed on insurers under existing provisions of the rule. In the case of medical bills for pharmaceuticals or pharmaceutical services provided by a pharmacist licensed under Chapter 465, F.S., insurers would be relieved of the obligation of issuing an Explanation of Bill Review to that pharmacy or pharmacist if there is a contract between the two that governs and specifies the amount of reimbursement due on the medical bill.

SUBJECT:

The proposed rule relieves insurers of the obligation of issuing an Explanation of Bill Review when providing reimbursement of medical bills for contractual pharmaceutical services.

RULEMAKING AUTHORITY:

440.13(4), 440.15(3)(b), (d), (f), 440.185(5), 440.20(6)(b), 440.525(2), 440.591, 440.593(5) F.S.

LAW:

440.09, 440.13(2)(a), (3), (4), (6), (11), (12), (14), (16), 440.15(3)(b), (d), (f), 440.185(5), (9), 440.20(6), 440.525(2), 440.593 FS.

PRINT PUBLISH DATE:

5/22/2013 Vol. 39/100

RELATED STATUTES
AND LAWS:

440.13(4), 440.15(3)(b), (d), (f), 440.185(5), 440.20(6)(b), 440.525(2), 440.591, 440.593(5) F.S., 440.09, 440.13(2)(a), (3), (4), (6), (11), (12), (14), (16), 440.15(3)(b), (d), (f), 440.185(5), (9), 440.20(6), 440.525(2), 440.593 FS.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://flrules.org/gateway/ruleno.asp?id=69L-7.602&PDate=5/22/2013&Section=1

REFERENCE MATERIALS:

No reference(s).

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