15979603, 69L-7.710 - Florida Administrative Rules, Law, Code, Register

Home

Florida Department of State and Division of Library and Information Services

Notice: 15979603

Notice of Proposed Rule

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Workers' Compensation

Chapter:

WORKERS' COMPENSATION MEDICAL REIMBURSEMENT AND UTILIZATION REVIEW

Overview

RULE:

69L-7.710	Definitions
69L-7.720	Forms Incorporated by Reference for Medical Billing, Filing and Reporting
69L-7.730	Health Care Provider Medical Billing and Reporting Responsibilities
69L-7.740	Insurer Authorization and Medical Bill Review Responsibilities
69L-7.750	Insurer Electronic Medical Report Filing to the Division

PURPOSE:

The proposed rules represent a substantial rewrite and reorganization of Rule 69L-7.710, F.A.C., titled, “Florida Workers’ Compensation Medical Services Billing, Filing and Reporting Rule.” Existing Rule 69L-7.710, F.A.C., is rewritten and reorganized into five  proposed rules that  are intended to replace existing Rule 69L-7.710, F.A.C. The proposed rules incorporate an updated version of Form DFS-F5-DWC-9, which includes  revised instructions for the billing of medications by dispensing practitioners and revised instructions  for pharmacists when billing on Form DFS-F5-DWC-10. The proposed rules also incorporate revised form completion instructions for pharmacies and pharmacists, hospitals, ambulatory surgical centers, health care providers, work hardening programs, nursing homes and home health agencies. The proposed rules add, revise and delete certain definitions consistent with the implementation of SB 662, Chapter 2013-131, Laws of Florida and, upon federal implementation, the use of the ICD-10 International Classification of Diseases (10th Revision). The proposed rules omit subsection 69L-7.710(3), entitled, “Materials Incorporated by Reference,”  which is to be transferred  for listing under proposed new Rule Chapter 69L-8, F.A.C., titled, “Selected Materials Incorporated by Reference.”

SUMMARY:

The proposed rulemaking represents a substantial rewrite and reorganization of existing Rule 69L-7.710, F.A.C., which is divided into five rule sections. The rulemaking also incorporates and adopts the ICD-10 medical code sets for use in conjunction with the Florida Medical EDI Implementation Guide (“MEIG”). The proposed rules also include revised billing forms and accompanying instructions.

RULEMAKING AUTHORITY:

440.13(4), 440.15(3)(b), (d), 440.185(5), 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), (5), 440.185(5), (9), 440.20(6), 440.525(2), 440.593, F.S.

PRINT PUBLISH DATE:

5/11/2015 Vol. 41/91

COMMENTS:

From 5/11/2015 To 6/1/2015 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.