4025808, 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: 4025808

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:

To amend the rule to adopt the 2007 Edition of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, to implement the 2007 conversion factors issued by the Centers for Medicare and Medicaid Services approved by the Three Member Panel pursuant to Section 440.13(12), F.S. In addition, the proposed amendments to the rule will adopt the CPT® 2007 Current Procedural Terminology Professional Edition, Copyright 2006, American Medical Association; the Current Dental Terminology, CDT-2007/2008, Copyright 2006, American Dental Association; and the “Healthcare Common Procedure Coding System, Medicare’s National Level II Codes, HCPCS 2007”, American Medical Association, Nineteenth Edition, Copyright 2006, Ingenix Publishing Group.

SUBJECT:

Reimbursement policies, guidelines, codes and maximum reimbursement allowances for services and supplies provided by health care providers to workers’ compensation claimants.

RULEMAKING AUTHORITY:

440.13(14)(b), 440.591 FS.

LAW:

440.13(7), (12), (14) FS.

PRINT PUBLISH DATE:

4/20/2007 Vol. 33/16

RELATED STATUTES
AND LAWS:

440.13(14)(b), 440.591 FS., 440.13(7), (12), (14) 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=4/20/2007&Section=1

REFERENCE MATERIALS:

No reference(s).

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