The proposed rules represent a substantial rewrite and reorganization of Rule 69L-7.710, F.A.C., (formerly Rule 69L-7.602, F.A.C.), titled, “Florida Workers’ Compensation Medical Services Billing, Filing and Reporting Rule.” Existing Rule 69L-7.710, ...

 

DEPARTMENT OF FINANCIAL SERVICES

Division of Worker’s Compensation

RULE NOS.:RULE TITLES:

69L-7.710Florida Workers’ Compensation Medical Services Billing, Filing and Reporting Rule

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

69L-7.750Insurer Electronic Medical Report Filing to the Division

PURPOSE AND EFFECT: The proposed rules represent a substantial rewrite and reorganization of Rule 69L-7.710, F.A.C., (formerly Rule 69L-7.602, F.A.C.), titled, “Florida Workers’ Compensation Medical Services Billing, Filing and Reporting Rule.” Existing Rule 69L-7.710, F.A.C., is rewritten and reorganized into five proposed rules that are intended to replace existing Rule 69L-7.710, F.A.C. The proposed rules incorporate updated versions of form DFS-F5-DWC-9, related instructions, including revised billing instructions for dispensing practitioners when billing for dispensed medications and for pharmacists billing on form DFS-F5-DWC-10. The proposed rules, likewise, incorporate revised form completion instructions for pharmacies and pharmacists, hospitals, ambulatory surgical centers, health care providers, work hardening programs, nursing homes and home health agencies. In addition, there are new, revised and deleted definitions that support the implementation of SB 662, Ch. 2013-131, L.O.F., and upon federal implementation, use of the ICD-10. The proposed rules omit an entire section of the former rule, titled, “Materials Incorporated by Reference.” The aforementioned section is transferred (by separate rulemaking) to proposed new Rule Chapter 69L-8, F.A.C., titled, “Selected Materials Incorporated by Reference,” and organized under proposed new Rule 69L-8.074, F.A.C., titled, “Materials for use throughout Rule Chapter 69L-7, F.A.C.”

SUBJECT AREA TO BE ADDRESSED: The Substantial Rewrite and Reorganization of Existing Rule 69L-7.710, F.A.C.

RULEMAKING AUTHORITY: 440.13(4), 440.15(3)(b), (d), 440.185(5), 440.525(2), 440.591, 440.593(5) FS.

LAW IMPLEMENTED: 440.09, 440.13(2)(a), (3), (4), (6), (11), (12), (14), (16), 440.15(3)(b), (d), (5), 440.185(5), (9), 440.20(6), 440.525(2), 440.593 FS.

IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: Wednesday, June 18, 2014, 9:00 p.m. ‒ 12:30 p.m.

PLACE: Room 102, Hartman Building, 2012 Capital Circle Southeast, 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: Eric Lloyd, [phone], or [e-mail]. 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: Eric Lloyd, Program Administrator, Division of Workers’ Compensation, Office of Medical Services, Department of Financial Services, 200 E. Gaines Street, Tallahassee, Florida 32399-4232, [phone], [e-mail]

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS AVAILABLE AT NO CHARGE FROM THE CONTACT PERSON LISTED ABOVE.