The proposed rule is amended to adopt the 2016 Edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals (“Manual”), as approved by the Three-Member Panel during a scheduled meeting held on April 20, 2016, pursuant to ...  

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    DEPARTMENT OF FINANCIAL SERVICES

    Division of Worker’s Compensation

    RULE NO.:RULE TITLE:

    69L-7.501Florida Workers’ Compensation Reimbursement Manual for Hospitals

    PURPOSE AND EFFECT: The proposed rule is amended to adopt the 2016 Edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals (“Manual”), as approved by the Three-Member Panel during a scheduled meeting held on April 20, 2016, pursuant to paragraph 440.13(12)(a), F.S. The 2016 Edition of the Manual increases the per diem reimbursement rates for surgical and non-surgical hospital inpatient services and the threshold dollar amount triggering Stop-Loss reimbursement above reimbursement allowances specified in the 2014 Edition of the Manual, as adopted by the existing rule. The 2016 Edition of the Manual also provides an updated fee schedule for various categories of hospital outpatient services based on the Current Procedural Terminology (“CPT”) line level charge data, with an adjustment of the Maximum Reimbursement Allowance (“MRA”) based on the geographic location of the service provider.

    SUBJECT AREA TO BE ADDRESSED: Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2016 Edition.

    RULEMAKING AUTHORITY: 440.13(12), (14), 440.591 FS.

    LAW IMPLEMENTED: 440.13(7), (12), (14) 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: Thursday, July 28, 2016, 9:00 a.m. – 10:30 a.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: Brittany O’Neil, 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 32399-4220, telephone: (850)413-1927, email: Brittany.ONeil@myfloridacfo.com

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

Document Information

Subject:
Florida Workers’ Compensation Reimbursement Manual for Hospitals, 2016 Edition.
Purpose:
The proposed rule is amended to adopt the 2016 Edition of the Florida Workers’ Compensation Reimbursement Manual for Hospitals (“Manual”), as approved by the Three-Member Panel during a scheduled meeting held on April 20, 2016, pursuant to paragraph 440.13(12)(a), F.S. The 2016 Edition of the Manual increases the per diem reimbursement rates for surgical and non-surgical hospital inpatient services and the threshold dollar amount triggering Stop-Loss reimbursement above reimbursement ...
Rulemaking Authority:
440.13(12), (14), 440.591, FS.
Law:
440.13(7), (12), (14), FS.
Contact:
Brittany O’Neil, Policy Coordinator, Division of Workers’ Compensation, Department of Financial Services, address: 200 East Gaines Street, Tallahassee, Florida 32399-4220, telephone: (850)413-1927, email: Brittany.ONeil@myfloridacfo.com.
Related Rules: (1)
69L-7.501. Florida Workers' Compensation Reimbursement Manual for Hospitals