13458961, 69L-7.501 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 13458961

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-7.501

Florida Workers' Compensation Reimbursement Manual for Hospitals

PURPOSE:

The purpose and effect of the proposed rule development is to amend the rule to adopt by reference the 2014 Edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals, replacing the 2006 Edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals in the existing rule. The 2014 Edition of the Florida Workers’ Compensation Reimbursement Manual will incorporate a fee schedule for certain hospital outpatient services within defined geographic areas in Florida utilizing current procedural terminology (CPT) line level charge data. The methodology for the incorporated fee schedule establishes criteria to evaluate 18 months of hospital outpatient bill data. In addition, the manual increases the current inpatient surgical and non-surgical per diem amounts by 16.5% and raises the current stop-loss threshold by 16.5%. The 2014 Edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals also makes technical changes  to include a new manual format, and expanded table of contents and chapters organized by topic.

SUBJECT:

Reimbursements to hospitals for outpatient and inpatient care provided to workers’ compensation patients pursuant to the Florida Workers’ Compensation Reimbursement Manual for Hospitals.

RULEMAKING AUTHORITY:

440.13(12), (14), 440.591, F.S.

LAW:

440.13(7), (12), (14), F.S.

PRINT PUBLISH DATE:

8/30/2013 Vol. 39/170

RELATED STATUTES
AND LAWS:

440.13(12), (14), 440.591, F.S., 440.13(7), (12), (14), F.S.

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-7.501&PDate=8/30/2013&Section=1

REFERENCE MATERIALS:

No reference(s).

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