18083436, 69L-7.020 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 18083436

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-7.020

Florida Workers' Compensation Health Care Provider Reimbursement Manual

PURPOSE:

The proposed rule amends the existing rule to adopt and incorporate by reference the 2016 Edition of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, as approved by the Three-Member panel on April 20, 2016, pursuant to paragraph 440.13(12)(a), F.S. The aforementioned manual is updated to incorporate the 2016 Medicare Conversion Factor and Resource Based-Relative Value Scale (RBRVS) geographic-specific reimbursement levels used to determine Maximum Reimbursement Allowances (MRAs) for physician’s services and non-surgical hospital outpatient services provided to Florida’s injured workers.

SUMMARY:

The proposed rule amends the existing rule to adopt and incorporate by reference the 2016 Edition of the Florida Workers’ Compensation Health Care Provider Manual which incorporates the 2016 Medicare Conversion Factor and RBRVS geographic-specific reimbursement levels used to determine MRAs for physician’s services and non-surgical hospital outpatient services provided to Florida’s injured employees.

RULEMAKING AUTHORITY:

440.13(13)(b), 440.591, FS.

LAW:

440.13(7), (12), (13)(b), FS.

PRINT PUBLISH DATE:

9/30/2016 Vol. 42/191

COMMENTS:

From 9/30/2016 To 10/21/2016 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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