14637608, 69L-7.710 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 14637608

Notice of Development of Rulemaking

Department:

DEPARTMENT OF FINANCIAL SERVICES

Division:

Division of Workers' Compensation

Chapter:

WORKERS' COMPENSATION MEDICAL REIMBURSEMENT AND UTILIZATION REVIEW

Overview

RULE:

69L-7.710	Definitions
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
69L-7.750	Insurer Electronic Medical Report Filing to the Division

PURPOSE:

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:

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), F.S.

LAW:

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, F.S.

PRINT PUBLISH DATE:

6/3/2014 Vol. 40/107

RELATED STATUTES
AND LAWS:

440.13(4), 440.15(3)(b), (d), 440.185(5), 440.525(2), 440.591, 440.593(5), F.S., 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, F.S.

OVERSIGHT COMMITTEE:

Joint Administrative Procedures Committee
Florida Administrative Law Central Online Network (F.A.L.C.O.N.)

RELATED COURT CASES:

Division of Administrative Hearings

FEDERAL eRULEMAKING
WEB PORTAL:

Regulations.gov

HOW TO LINK TO
THIS NOTICE:

http://www.flrules.org/gateway/ruleno.asp?id=69L-7.710&PDate=6/3/2014&Section=1

REFERENCE MATERIALS:

No reference(s).

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