DFS Rule Workshop On Workers’ Compensation Carrier Mandatory Reporting Requirements Scheduled For December 2
Nov 13, 2009
The Florida Department of Financial Services, Division of Workers’ Compensation has issued a Notice of Rulemaking Development regarding the following proposed Rules that would require workers’ compensation carriers to report all instances of health care provider over-utilization, as well as improper billing and billing errors:
- 69L-34.001: Definitions
- 69L-34.002: Mandatory Carrier Reporting
- 69L-34.003: Referral of Alleged Health Care Provider Violation
- 69L-34.004: Timeliness of Referral
- 69L-34.005: Referral Investigation
- 69L-34.006: Invalid Referrals
The proposed Rules would also:
- Clarify that workers’ compensation carriers may fulfill their mandatory reporting requirements by filing the medical claims data elements required in Rule 69L-7.602, F.A.C.; and
- Provide a method by which carriers may report other health care provider violations, such as failure to submit medical records and reports, failure to refund an overpayment of reimbursement, collecting payment from an injured employee or failure to follow standards of care.
Copies of the proposed Rule texts are attached.
If a Rule Development Workshop is requested in writing and not deemed unnecessary by the agency head, one will be held at the date, time, and place shown below:
Date: Wednesday, December 2, 2009
Time: 9:00 a.m.
Place: Room 104-J of the Hartman Building, 2012 Capital Circle Southeast, Tallahassee
Should you have any questions or comments, please contact Colodny Fass.
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