DEPARTMENT OF FINANCIAL SERVICES
Division of Workers’ Compensation
RULE NO.:RULE TITLE:
69L-7.100Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs)
NOTICE OF CHANGE
Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 48 No. 164, August 23, 2022 issue of the Florida Administrative Register.
The Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers, incorporated by reference into Rule 69L-7.100, is amended as follows:
On Page 16, under the heading “Minimum Partial Payment Required,” the second sentence of the paragraph is amended to remove the words “for which there is no dispute as to the medical necessity.” The entire paragraph is amended to read as follows:
When a carrier denies, disallows, or adjusts payment for ASC charges, in accordance with the time limitation and coding requirements established by statute and by rule, the carrier must remit a minimum partial payment of the ASC’s charges. Minimum partial payment means payment of all non-disputed charges. The payment must accompany the Explanation of Bill Review (EOBR).
