17736855, 69L-7.020 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 17736855

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-7.020

Florida Workers' Compensation Health Care Provider Reimbursement Manual

PURPOSE:

The proposed rule amends the existing rule to adopt and incorporate by reference the 2016 Edition of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, as approved by the Three-Member panel on April 20, 2016, pursuant to paragraph 440.13(12)(a), F.S. The aforementioned manual is updated to incorporate the 2016 Medicare Conversion Factor and Resource Based Relative Value Scale (“RBRVS”) geographic-specific reimbursement levels used to determine Maximum Reimbursement Allowances (“MRAs”) for physician’s services and non-surgical hospital outpatient services provided to Florida’s injured workers.

SUBJECT:

Florida Workers’ Compensation Health Care Provider Reimbursement Manual (2016 Edition).

RULEMAKING AUTHORITY:

440.13(13)(b), 440.591, FS.

LAW:

440.13(7), (12), (13)(b), FS.

PRINT PUBLISH DATE:

7/7/2016 Vol. 42/131

RELATED STATUTES
AND LAWS:

440.13(13)(b), 440.591, FS., 440.13(7), (12), (13)(b), FS.

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-7.020&PDate=7/7/2016&Section=1

REFERENCE MATERIALS:

No reference(s).

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