69L-7.501. Florida Workers' Compensation Reimbursement Manual for Hospitals  


Effective on Thursday, January 1, 2015
  • 1(1) The Florida Workers’ Compensation Reimbursement Manual for Hospitals, 10(“Manual”), 2014 12Edition 13http://www.flrules.org/Gateway/reference.asp?No=Ref-04109, 15effective January 1, 2015, 19is adopted by reference as part of this rule. The Hospital Manual contains 32the Maximum Reimbursement Allowances (MRAs) determined by the Three-Member Panel, pursuant to Section 45440.13(12), F.S., 47and establishes 49policy, 50procedures, principles and standards for implementing statutory provisions regarding reimbursement for medically necessary services and supplies provided to injured workers in a hospital setting. 74The policy, procedures, principles and standards in the Manual are in addition to the requirements established by the Florida Workers’ Compensation Medical Services Billing, Filing and Reporting Rule, Rule 10369L-7.710, 104F.A.C. The Reimbursement Manual for Hospitals is available for inspection during normal business hours at the Florida Department of Financial Services, Document Processing Section, 200 East Gaines Street, Tallahassee, Florida 32399-0311, or may be obtained free of charge by print or download from the Department’s website at 151http://www.myfloridacfo.com/division/wc/publications.html152.

    153(2) The Florida Workers’ Compensation Health Care Provider Reimbursement Manual 163(“HCP RM”), 165incorporated by reference into Rule 17069L-7.020, 171F.A.C.; and the Workers’ Compensation Medical Services Billing, Filing and Reporting Rule, Rule 18469L-7.710, 185F.A.C., are 187recognized for use in conjunction with the Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2014 Edition, effective January 1, 2015207. Both rules and the HCP RM are available for inspection during normal business hours at the Florida Department of Financial Services, Document Processing Section, 200 East Gaines Street, Tallahassee, Florida 32399-0311, or via the Department’s web site at 246http://www.myfloridacfo.com/division/wc/publications/html247.

    248Rulemaking Authority 250440.13(12), 251(14), 252440.591 FS. 254Law Implemented 256440.13(7), 257(12), (14) FS. History–New 6-9-87, Amended 6-1-92, 10-27-99, 7-3-01, Formerly 38F-7.501, 4L-7.501, Amended 12-4-03, 1-1-04, 7-4-04, 10-1-07, 1-1-15.

     

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