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Ref-04109 Hospital Manual

Hospital Manual.pdf

4/10/2014

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Agency:: Department of Financial Services
69L. Division of Workers' Compensation

Related Rules

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

Related Notices

18083630.The proposed rule incorporates 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.
19285751.The purpose of the changes being made to Rules 69L-7.020, 69L-7.100, and 69L-7.501, F.A.C., is to incorporate the 2017 versions of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, the Florida Workers’ Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs), and the Florida Workers’ Compensation Reimbursement Manual for Hospitals. The manuals contain the updated lists of Maximum Reimbursement Allowances for various medical services, as approved by the Three-Member Panel on April 19, 2017, pursuant to section 440.13(12)(a), Florida Statutes.
19642032.The purpose of the changes being made to Rule 69L-7.501, F.A.C., is to incorporate the 2017 version of the Florida Workers’ Compensation Reimbursement Manual for Hospitals. The manual contains the updated lists of Maximum Reimbursement Allowances for various medical services, as approved by the Three-Member Panel on April 19, 2017, pursuant to section 440.13(12)(a), Florida Statutes.
21123998.The purpose of the changes being made to Rule 69L-7.501, F.A.C., is to incorporate the 2018 version of the Florida Workers’ Compensation Reimbursement Manual for Hospitals. This manual contain the updated list of Maximum Reimbursement Allowances for various medical services, pursuant to section 440.13(12)(a), Florida Statutes.