7892713, 69L-34.001 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 7892713

Notice of Development of Rulemaking

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Workers' Compensation

Chapter:

Carrier Report of Health Care Provider Violations

Overview

RULE:

69L-34.001	Definitions
69L-34.002	Mandatory Carrier Reporting
69L-34.003	Elective Referral of Alleged Health Care Provider Violation
69L-34.004	Timeliness of a Referral
69L-34.005	Referral Investigation
69L-34.006	Invalid Referrals

PURPOSE:

The purpose and effect of this proposed rule is to:
1. Clarify that the mandatory reporting of all instances of overutilization to the Division of Workers’ Compensation (Division) shall be accomplished by means of the Carrier’s compliance with the Division’s medical claims information filing requirements in subsections 69L-7.602(5) and (6), Florida Administrative Code (F.A.C.), Florida Workers’ Compensation Medical Services Billing, Reporting and Filing Rule; and
2. Introduce a discretionary reporting process by which Carriers may report to the Division, a Health Care Provider’s violation of Chapter 440, Florida Statutes (F.S.), and applicable administrative rules.

SUBJECT:

The process by which a Carrier shall comply with mandatory reporting requirements set forth in Section 440.13(8)(a), F.S., and the procedure by which a carrier may also report to the Division other Health Care Provider violations as specifically defined in this rule.

RULEMAKING AUTHORITY:

440.13(13)(g), 440.591 FS.

LAW:

440.13(4), (7), (8), (11), (13), (14), (16), 440.192 FS.

PRINT PUBLISH DATE:

11/6/2009 Vol. 35/44

RELATED STATUTES
AND LAWS:

440.13(13)(g), 440.591 FS., 440.13(4), (7), (8), (11), (13), (14), (16), 440.192 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-34.001&PDate=11/6/2009&Section=1

REFERENCE MATERIALS:

No reference(s).

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