Division of Workers' Compensation
News and Updates (2007)
December 2007
- The Division of Workers’ Compensation is proposing to amend
Rule 69L-24.0231, F.A.C.
The purpose of the amendment is to provide a thirty day time
period within which a Claims Administrator will not receive a
late filing penalty for any First Reports of Injury or Illness
accepted by the Division of Workers’ Compensation after the
Claims Administrator is first approved by the Division to
electronically submit such reports to the Division. The rule
workshop is scheduled for Monday, January 7, 9:00am – 12:00 pm
in Room104 J of the Hartman Bldg., 2012 Capital Circle S. E.,
Tallahassee, Florida. View
rule [40K PDF]
- New Informational Memorandum:
DFS-14-2007 [22K PDF] - Maximum
Workers’ Compensation Rate, Effective January 1, 2008
-
Organization information for the Bureau of Data Quality
and Collection and Bureau of Operations
Support has been updated
-
EDI statistics
(paper vs. electronic submissions) updated
-
The following Medical EDI
documents have been updated on 12/6/2007:
- The Claims EDI section's
FL R3
Scenarios [2.9MB PDF] was revised
on 12/1/07
- Updated Instructional
Manual [2.8MB PDF] for
the online Penalty Payment Service
November 2007
- Statistics for
Non-Fatal Work-Related Injuries and Illnesses in
Florida, 2006 has been added to the
Statistics section
- The Medical Services Unit, under the
direction of the Division of Workers
Compensation, will hold a rulemaking
workshop on
proposed rule 59A-34, Carrier
Report of Health Care Provider Violations
and Initiation of Investigation. This
workshop will take place at the DWC
headquarters, 2012 Capital Circle S.E.,
Tallahassee, FL, 104-J Hartman Building, on
December 4, 2007 beginning at 9:00 a.m. This
workshop is open to the public and
telephonic participation is available by
dialing (850) 413-1591 or (SC) 293-1591.
External callers can reach Conference
Connection via this number. You will need
the conference ID number, 920006, to enter
the conference call.
- The Occupational Safety and Health
Unit (OSH)
[13K PDF] information located on
the Safety page has been
updated
- Contact information for the
Bureau of
Monitoring & Audit,
EDI Medical,
Bureau of Employee Assistance, and
Data Quality &
Collection sections have all been updated
- The
Division of Workers’ Compensation has implemented an online
Penalty
Payment Service for employers that have been issued a Stop-Work
Order or Order of Penalty Assessment. This free service allows you to pay
your entire penalty in full or to pay the
monthly installments that are required in
your periodic payment plan. The Penalty
Payment Service is convenient, simple to set
up, and easy to use.
Click here
[2.8MB PDF] to obtain a
copy of the Instructional Manual, which
contains general information about the
online service and step-by-step instructions
for setting up an online payment account. To
make an online penalty payment access the
following links:
- EDI statistics
(paper vs. electronic submissions) updated
-
Test DWC Claims EDI R3 Data Warehouse
(Release
3) added to
Claims
EDI databases
- New additions and updates to the
Claims EDI
section
October 2007
-
An interactive Word version of the
Florida Workers’ Compensation Uniform
Medical Treatment/Status Report Form
(DFS-F5-DWC-25) has been added under
69L-7 on the Rules
& Forms page
-
The Revocation of Election
of Coverage form (DFS-251-R
[17K
PDF]) has been updated and can be found under
Rules & Forms
(69L-6)
-
The MDMS Web Site
FAQ
[28K
PDF] on the Medical EDI page
has been updated
-
New additions and updates to the
Claims EDI
section
-
69L-7.020 Florida Workers'
Compensation Reimbursement Manual for
Health Care Providers Rule Update -
The Florida Workers' Compensation Health
Care Provider Reimbursement Manual, 2007
Edition, has been adopted and will
become effective 10/18/2007. The rule
implements new reimbursement rates as
authorized by Florida’s Three-Member
Panel. A copy can be found below and
also under the
Publications
& Manuals section of our website.
- Contact information has been updated
on the Medical
EDI and
ODQC
sections
September 2007
- 69L-7.501 Florida Workers’
Compensation Reimbursement Manual for
Hospitals Rule Update - The
Florida Workers' Compensation
Reimbursement Manual for Hospitals, 2006
Edition, has been adopted and will
become effective 10/01/2007, and applies
to all hospital admissions on or after
10/01/07. This rule implements
reimbursement rates as well as other
important amendments throughout each
section of the rule. A copy can be found
below and also under
Publications
& Manuals.
- Division Notice of Proposed
Rulemaking for proposed Rule 69L-7.020,
Florida Workers' Compensation Health
Care Provider Reimbursement Manual, 2007
Edition. UPDATE - 9/25/07:
Administrative rule making procedures
are in the final adoption stages with an
anticipated effective date of 10/19/07. The Division
will issue a formal DWC E-Alert
notification advising parties of the
official effective date of this
reimbursement manual, and will update
the website accordingly.
- The Division of Workers’ Compensation has published its 2007
Annual Report and it is now available under
Publications and Manuals.
The Annual Report contains a summary of the Division’s
activities and accomplishments for fiscal year 2006-2007.
View/download report
[2.3MB
PDF]
- Instruction Manual for the Online Medical Data Management
System (MDMS), 2007, Revised 09/14/2007
[1.76 MB PDF] (New for Revision D).
Also available in the
Medical EDI section.
-
EOBR Business Rules for 2007
[27K PDF] (DWC-9, DWC-10, and DWC-11)
(New
for Revision D) - updated 9/5/2007. Also available in the
Medical EDI section.
- New additions and updates were made to the
Claims EDI area
August 2007
- Division Notice of Proposed
Rulemaking for proposed Rule 69L-7.020,
Florida Workers' Compensation Health
Care Provider Reimbursement Manual, 2007
Edition. UPDATE - 08/20/2007: The
hearing scheduled on 08/22/2007 for the
FL WC Health Care Provider Reimbursement
Manual was not requested, and therefore,
will not be held. After all required
rule adoption administrative procedures
are taken, it is anticipated that this
reimbursement manual will go into effect
in late September 2007. The Division
will issue a formal DWC E-Alert
notification advising parties of the
official effective date of this
reimbursement manual, and will update
the website accordingly.
- 69L-7.501 Reimbursement Rule
Update 08/20/2007 – On February
23, 2007, two rule challenge petitions
were filed in reference to the Florida
Workers’ Compensation Reimbursement
Manual for Hospitals, 2006 Edition. The
parties subsequently entered into a
Settlement Agreement which was approved
by the Three-Member Panel in its meeting
of June 14, 2007. Following release by
the Division of Administrative Hearings,
the Division will file the rule with the
Secretary of State for final adoption.
The effective date of the rule will be
twenty days after it is filed with the
Secretary of State. The Division
anticipates these steps will result in
an effective date of approximately
October 1, 2007. Until the effective
date of the 2006 edition, the
appropriate reimbursement manual to use
is the Hospital Reimbursement Manual,
2004 Second Edition.
- 69L-7.100 Florida
Workers’ Compensation Ambulatory
Surgical Center Reimbursement Manual
Rule Update -The Florida Workers'
Compensation Ambulatory Surgical Center
Reimbursement Manual has been adopted
and will become effective 08/19/2007.
This rule implements reimbursement rates
as well as other important amendments
throughout each section of the rule. A
copy can be found below and also under
the Publications section of our website.
- The statistics
area has been updated, and
2006 Fatal Work-Related Injuries in Florida
stats have been added.
July 2007
June 2007
- The next FL Claims EDI Release
3 (non-medical) Training for Claim Administrators
will be held from 8:30-5 p.m. on August 22 & 23,
2007 on the campus of the University of South
Florida in Tampa, FL. It is recommended that both a
business and technical representative from a claim
administrator attend. Seating is limited to 125, and
priority will be given to those who have not
previously attended. There is no charge to attend
this training; however, a prior registration
confirmation is required. To reserve your place in
the training, please complete the
training registration form [12K PDF]
and fax it to 850-488-3453.
- The EDI Informational
Brochure
[111K PDF] has been updated
May 2007
April 2007
- Rule Development Workshop Notice:
69L-7.020 - A public workshop for the FL
Workers’ Compensation Health Care
Provider Reimbursement Manual, 2007
Edition has been scheduled on 5/8/2007,
10:00 a.m., 104J Hartman Bldg., 2012
Capital Circle SE, Tallahassee, Fl.
32399. A formal notice of public
workshop appears in the Florida
Administrative Weekly on 4/20/2007.
(Click
here to view the notice)
- The Special
Disability Trust Fund (SDTF) section has
been updated
- Division of Workers’ Compensation (DWC) and the
Office of the Judge of Compensation Claims
(OJCC) will hold its next seminar at Florida
Community College at Jacksonville, Kent Campus
on Friday, May 4.
More details
[25K
PDF]
-
Injured Worker Workshop
[307K PowerPoint] - This presentation
provides an overview of injured workers’ rights
and responsibilities under Florida’s workers’
compensation law, information on medical and
indemnity benefits, and answers many questions
injured workers have following their injury.
- The
Claims EDI
area has been updated again
- New Informational Memoranda:
DFS-07-07
[52K
PDF] - Wage Loss Discount Factor Tables, April
10, 2007. A complete list of Division bulletins
can be found under Informational Memoranda.
March 2007
-
Instruction Manual for the Online Medical Data Management
System (MDMS), 2007, Revised 03/29/2007 [1.8MB
PDF] (New for Revision D)
-
Future Claims EDI
(non-medical) Release 3 Training (click
here [12K
PDF])
-
The
Claims EDI
area has been updated
-
69L-7.100 Reimbursement Rule Update 03/09/2007
– As requested, a public hearing was
held on February 13, 2007 for the
Florida Workers' Compensation
Reimbursement Manual for Ambulatory
Surgical Centers, 2006 Edition.
Subsequent to the public hearing date, a
rule challenge has been received by the
Division of Workers’ Compensation
regarding this reimbursement manual.
Pending the outcome of the rule
challenge, the appropriate reimbursement
manual to use is the Florida Workers’
Compensation Reimbursement Manual for
Ambulatory Surgical Centers, 2005
Edition.
-
The
Medical EDI
section has been updated
-
69L-7.602 - The
Florida Workers' Compensation Medical
Billing, Filing, and Reporting Rule,
69L-7.602, F.A.C., has been adopted and
became effective 3/8/2007. A copy of
this rule, form completion instructions,
and the required billing forms can be
found below and also under the
Rules and Forms
section of our website.
- 69L-7.501 Reimbursement Rule
Update 03/05/2007 – As requested, a
public hearing was held on February 13,
2007 for the Florida Workers’
Compensation Reimbursement Manual for
Hospitals, 2006 Edition. Subsequent to
the public hearing date, a rule
challenge has been received by the
Division of Workers’ Compensation
regarding this reimbursement manual.
Pending the outcome of the rule
challenge, the appropriate reimbursement
manual to use is the Hospital
Reimbursement Manual, 2004 Second
Edition.
February 2007
-
Claims EDI (non-medical) Release 3 Training in May
in Tallahassee: The Florida Division of Workers’
Compensation announces a free two day training class,
May 16 & 17, 2007 in Tallahassee on the upcoming Claims
EDI Release 3 mandate, and the new EDI Rule (69L-56
F.A.C.) Prior registration is required. Please complete
and return the EDI Training Registration form to the
Division. (click
here [12K PDF])
- Claims EDI Release 3 Training in April:
The Florida Division of Workers’
Compensation announces a free two day
training class, April 17 & 18, 2007 in
Orlando on the upcoming Claims EDI
Release 3 mandate, and the new EDI Rule
(69L-56 F.A.C.) Seating is limited to
120, and prior registration is required.
Class in now full.
- The Publications Order Form
[28K PDF] available under
Publications has
changed
- EDI statistics
(paper vs. electronic submissions) have been updated
- The Claims EDI
section has been updated
- 69L-7.100 Reimbursement Rule Update
02/05/2007 - A written request to conduct a
public hearing has been received for the Florida
Division of Workers' Compensation Reimbursement
Manual for Ambulatory Surgical Centers, 2006
Edition. Accordingly a public hearing will be held
on Tuesday, February 13, 2007 at 9:00 a.m. in room
104J Hartman Bldg., 2012 Capital Circle SE,
Tallahassee, Fl. 32399.(Please see proposed rule
69L-7.100
[20K PDF] for contact
information.)
- 69L-7.501 Reimbursement Rule Update
02/05/2007 - A written request to conduct a
public hearing has been received for the Florida
Division of Workers' Compensation Reimbursement
Manual for Hospitals, 2006 Edition. Accordingly a
public hearing will be held on Tuesday, February 13,
2007 at 1:00 p.m. in room 104J Hartman Bldg., 2012
Capital Circle SE, Tallahassee, Fl. 32399. (Please
see proposed rule 69L-7.501
[18K PDF]
for contact information.)
January 2007
- 69L-7.602 - A written request to conduct a
public hearing for the Florida Workers' Compensation
Medical Billing, Filing, and Reporting Rule,
69L-7.602, F.A.C., was not received by the Division
of Workers' Compensation. Accordingly, the public
hearing scheduled for 1/23/2007, 104J Hartman
Building, 9:00 a.m., Tallahassee, Florida, was not
held. Formal adoption of this rule is forthcoming,
and notification of the effective adoption date will
be issued via the DWC-eAlert system, publication on
the Division's web page, and
through the Secretary of State's Florida
Administrative Weekly publication.
- The Three-Member Panel has issued its
biennial report [170K PDF]
on methods for improving the workers’ compensation
medical delivery system.
- 69L-7.100 Rule Development Hearing Announcement
- If requested, a hearing will be scheduled for the
Florida Division of Workers’ Compensation
Reimbursement Manual for Ambulatory Surgical
Centers, 2006 Edition on 2/13/2007, 9:00 a.m., 104J
Hartman Bldg., 2012 Capital Circle SE, Tallahassee,
Fl. 32399. (Please see proposed rule
69L-7.100
[20K PDF] for contact
information.)
- 69L-7.501 Rule Development Hearing Announcement
- If requested, a hearing will be scheduled for the
Florida Division of Workers’ Compensation
Reimbursement Manual for Hospitals, 2006 Edition on
2/13/2007, 1:00 p.m., 104J Hartman Bldg., 2012
Capital Circle SE, Tallahassee, Fl. 32399. (Please
see proposed rule 69L-7.501
[18K PDF]
for contact information.)
- The information in the EDI Proof of Coverage section has been updated
- ATTENTION: ALL INSURERS AND TPA'S: The
Division of Workers’ Compensation announces the
adoption of Rule 69L-56, F.A.C., Electronic Data
Interchange (EDI) Requirements for Proof of Coverage
and Claims (non-medical), effective January 7, 2007.
The rule now requires all insurers to report
certain claims information to the Division
electronically, rather than on DWC Forms adopted in
Rule 69L-3, F.A.C. A copy of the rule text has been
posted to the Division’s web site
here. The rule also
incorporates amendments to the POC EDI filing
requirements which will become effective April 2,
2007, including the reporting of a new data element,
“Transaction Issue Date”, and a revised Florida POC
EDI R2.1 Implementation Manual. A copy of the
revised POC EDI R1.2 Implementation Manual can be
found
here.
- FAQs about Rule 59A-31,
Resolution of Workers’ Compensation Reimbursement Disputes
[21K PDF]
- The Bureau of
Compliance section has been updated
- The Division of Insurance Fraud, Bureau of
Workers’ Compensation Fraud and the Division of
Workers’ Compensation, Bureau of Compliance issued a
joint report
[1.83M PDF] summarizing their
respective efforts and activities in combating
workers’ compensation fraud and employer
non-compliance for the period of July 1, 2005 - June
30, 2006.
- 69L-7.602 Rule Development Hearing Announcement
- If requested, a hearing will be scheduled for the
Medical Billing, Filing and Reporting Rule on
1/23/2007, 9:00 a.m., 104J Hartman Bldg., 2012
Capital Circle SE, Tallahassee, Fl. 32399. (Please
see rule for contact information.)
- The Bureau of Monitoring and Audit's
Statistics have been updated
See 2006
News and Updates items.
See 2005
News and Updates items.
See 2004 News and Updates items.
See 2003 News and Updates items.
See 2002 News and Updates items.
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