Standards of Care Requirements
The Standards of Care discussed in S.
440.13(16).F.S., must be adhered to by physicians and recognized
practitioners when rendering treatment and services to injured
employees. Physicians and recognized practitioners must
consider these standards of care when rendering or prescribing medical
- Abnormal anatomical findings alone, in the absence of objective
relevant medical findings, shall not be an indicator of injury or
illness, a justification for the provision of remedial medical care
or the assignment of restrictions, or a foundation for limitations.
- At all times during evaluation and treatment, the provider shall
act on the premise that returning to work is an integral part of the
treatment plan. The goal of removing all restrictions and
limitations as early as appropriate shall be part of the treatment
plan on a continuous basis. The assignment of restrictions and
limitations shall be reviewed with each patient exam and upon
receipt of new information, such as progress reports from physical
therapists and other providers. Consideration shall be given to
upgrading or removing the restrictions and limitations with each
patient exam, based upon the presence or absence of objective
relevant medical findings.
- Reasonable necessary medical care of injured employees shall in
- Use a high-intensity, short-duration treatment approach that
focuses on early activation and restoration of function whenever
- Include reassessment every 30 days of the treatment plans,
regimes, therapies, prescriptions, and functional limitations or
restrictions prescribed by the provider.
- Focus on treatment of the individual employee's specific
clinical dysfunction or status and shall not be based upon
nondescript diagnostic labels. Be inherently scientifically logical,
and the evaluation or treatment procedure must match the documented
physiologic and clinical problem. Treatment shall match the type,
intensity, and duration of service required by the problem
Failure to comply with the preceding standards is a violation of
Chapter 440, F.S., subject to penalties imposed by the Division.