The Department proposes the development of rule amendments to address clarification of medical reimbursement and utilization review requirements.  

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    DEPARTMENT OF FINANCIAL SERVICES

    Division of Workers' Compensation

    RULE NOS.:RULE TITLES:

    69L-7.710Definitions

    69L-7.720Forms Incorporated by Reference for Medical Billing, Filing and Reporting

    69L-7.730Health Care Provider Medical Billing and Reporting Responsibilities

    69L-7.740Insurer Authorization and Medical Bill Review Responsibilities

    PURPOSE AND EFFECT: The Department proposes the development of rule amendments to address clarification of medical reimbursement and utilization review requirements.

    SUBJECT AREA TO BE ADDRESSED: The medical reimbursement and utilization review requirements.

    RULEMAKING AUTHORITY: 440.13(7)(e), 440.591, FS.

    LAW IMPLEMENTED: 440.13(7), (8), (11)(a), (12), 440.134(15), FS.

    A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

    DATE AND TIME: Wednesday, May 27, 2020

    TIMES:

    69L-7.710, F.A.C. 9:30 a.m. – 10:30 a.m.

    69L-7.720, F.A.C. 10:30 a.m. – 11:30 a.m.

    69L-7.730, F.A.C. 1:00 p.m. – 2:30 p.m.

    69L-7.740, F.A.C. 2:30 p.m. – 4:00 p.m.

    PLACE: Room 155, Hilltop Building at Summit East, 1579 Summit Lake Drive, Tallahassee, Florida.

    Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 5 days before the workshop/meeting by contacting: Brittany O’Neil, Policy Coordinator, Division of Workers’ Compensation, Department of Financial Services, telephone: (850)413-1927, email: Brittany.Oneil@myfloridacfo.com If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

    THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Brittany O’Neil, Policy Coordinator, Division of Workers’ Compensation, Department of Financial Services, address: 200 East Gaines Street, Tallahassee, Florida 32399-4228, telephone: (850)413-1927, email: Brittany.Oneil@myfloridacfo.com

    THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS NOT AVAILABLE.

Document Information

Subject:
The medical reimbursement and utilization review requirements.
Purpose:
The Department proposes the development of rule amendments to address clarification of medical reimbursement and utilization review requirements.
Rulemaking Authority:
440.13(7)(e), 440.591, FS.
Law:
440.13(7), (8), (11)(a), (12), 440.134(15), FS.
Contact:
Brittany O’Neil, Policy Coordinator, Division of Workers’ Compensation, Department of Financial Services, address: 200 East Gaines Street, Tallahassee, Florida 32399-4228, telephone: (850)413-1927, email: Brittany.Oneil@myfloridacfo.com
Related Rules: (4)
69L-7.710. Florida Workers' Compensation Medical Services Billing, Filing and Reporting Rule
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