Division of Workers' Compensation
News and Updates
February 2010
-
Several new documents are available in the Medical EDI section
January 2010
-
69L-7.602, F.A.C., Florida Workers' Compensation Medical
Services, Billing, Filing and Reporting Rule, has been adopted and
became effective on 1/12/10. The Rule, as amended reflects changes
and updates to forms, reference materials, EDI requirements, and
billing instructions for providers and insurers associated with the
Florida Workers' Compensation Medical Services Billing, Filing, and
Reporting Rule. For more information contact Sam Willis at
(850)413-1898 or
Sam.Willis@myfloridacfo.com.
-
Instruction Manual for the Online Medical Data Management System
(MDMS), 2010 [3.2MB PDF], new for
Revision E (see Medical EDI)
- The final adopted version of rule
69L-24, F.A.C., Workers' Compensation Insurers' Standards and
Practices became effective 1/12/10
- The Minimum/Maximum
Compensation Rate Table has been updated for 2010
- The Department of Financial Services is required by statute to
secure an annual actuarial report on the liabilities of the Special
Disability Trust Fund (SDTF). The Department selected
Pinnacle Actuarial Resources, Inc. (Pinnacle), as the
independent actuary to perform this service. Pinnacle has submitted
its report titled: Actuarial Valuation of the Florida Department
of Financial Services Division of Workers' Compensation Special
Disability Trust Fund, Actuarial Analysis as of June 30, 2009.
This is the third report in the series authored by Pinnacle. The
report includes all required elements and other such information
necessary to understanding the status of the SDTF and the analysis
performed.
- The
Florida Medical EDI Implementation Guide (MEIG), 2010
[372K PDF], new for Revision E, is available in the
Medical EDI section.
- Compliance statistics updated
December 2009
- The newly updated Employee Notification Letter is available. See
Publications and Reimbursement Manuals for more information.
- The Division is offering free classes to educate employers,
business owners, licensed contractors and other interested
stakeholders to help them understand their statutory obligations
under the Workers' Compensation Law. The Division is partnering with
the U.S. Department of Labor, Office of Safety and Health
Administration (OSHA) to provide employers with information relating
to both workers’ compensation and workplace safety. Continuing
Education Units are available to individuals licensed by the
Department of Business and Professional Regulation, the Department
of Financial Services, Bureau of Fire Prevention and the Florida
Water Well Administration. The attached flyer lists class dates and
locations around the State. Advanced registration is required to
assure availability.
- Schedule of Classes:
English [18K PDF]
-
Registration Form:
English [57K Word]
For additional information,
bocseminars@myfloridacfo.com or call (850) 221-6518.
- The Division of Insurance Fraud, Bureau of Workers' Compensation
Fraud and the Division of Workers' Compensation, Bureau of
Compliance issued a Joint Report summarizing their respective
efforts and activities in combating workers' compensation fraud and
employer non-compliance for the period of July 1, 2008 through June
30, 2009.
- New Informational Memorandum:
DFS-05-2009 [28K PDF] - Maximum
Workers' Compensation Rate, Effective January 1, 2010
-
EDI statistics (paper vs. electronic submissions)
updated
November 2009
- The Division will hold a rule hearing on
Rule 69L-7.501, FAC
on Wednesday, December 2, 2009 @ 1:30 PM in 104J Hartman Building,
2012 Capital Circle SE, Tallahassee, FL, if a hearing is requested
in writing within 21 days of the
Notice of Proposed Rule. The title of the rule is the
Florida Workers' Compensation Reimbursement Manual for Hospitals.
» More info
- Draft informational documents
for Revision E are available under Medical
EDI
- A Notice of Change for Rule 69L-7.602, Florida Administrative
Code, was published in the Friday, November 13, 2009, Florida
Administrative Weekly. The rule, titled the Florida Workers'
Compensation Medical Services, Billing, Filing and Reporting Rule,
includes changes that have been made to address concerns expressed
at the public hearing and in response to written comments received
from the Joint Administrative Procedures Committee.
» More info
- The Division of Workers' Compensation will hold a rule development
workshop on Wednesday, December 2, 2009 @ 9:00 AM in 104J Hartman
Building, 2012 Capital Circle Southeast, Tallahassee, Florida. The
title of the rule is Carrier Report of Health Care Provider
Violations. » More info
October 2009
- The Injured Worker FAQs
have been updated
- Compliance statistics
updated
- A
Spanish version [560K PowerPoint]
of the Injured Worker Workshop slideshow is now available on the
Employee Education and Information page
-
EDI statistics (paper vs. electronic submissions)
updated
- Bureau of Compliance
district offices information has been updated
- The Division is pleased to announce the continuation of
Employer Seminars regarding Workers' Compensation and Workplace
Safety (presented by OSHA). These seminars are designed to
assist Florida employers in understanding their rights and
responsibilities under the Florida Workers' Compensation law and
in providing a Safe Workplace for their employees. The seminars
are free and are offered in several locations throughout
Florida. In addition, 4 seminars (in various locations) will be
presented in the Spanish language. More details can be found on
the Employer Education
page. You are welcome to disseminate the flyer and registration
forms to anyone you believe may be interested in attending.
September 2009
- DWC
FWCI Conference PowerPoint Slides (August 2009)
[5.8MB PowerPoint]
- A Hearing on the Notice of Proposed Rulemaking for the
Division of Workers' Compensation Rule 69L-6.012, Notice of
Election to be Exempt, Florida Administrative Code, will be
held, if requested within 21 days of the date the notice is
published. The Notice was published in the September 18, 2009,
Florida Administrative Weekly. If requested, the hearing will be
held on Wednesday, October 14, 2009; 10:00 am – 12:00 pm in Room
104J Hartman Building., 2012 Capital Circle SE, Tallahassee,
Florida. If a hearing is not requested, it will not be held. For
additional information, please contact Tasha Carter at (850)
413-1878 or
Tasha.Carter@myfloridacfo.com.
-
EDI Training PowerPoint Slides [1.9MB
PowerPoint] from the
DWC FWCI Conference are available on the
Claims EDI
page
- The Division of Workers' Compensation has published its
2009 Annual Report [2.5MB PDF] 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 2008/2009.
- Compliance statistics
have been updated
- The 2009 4th quarter schedule for the Division's free
classes regarding Florida’s Workers' Compensation law and
Workplace Safety is available. For more information see the
Employer Education section.
- Claims
EDI section updated
- The Injured Worker Frequently
Asked Questions page has been updated
- The Florida Division of Workers’ Compensation and Division of Risk
Management announce a free two day EDI training class October 6, 7,
and 8, 2009 in Tallahassee on the Claims EDI Release 3 mandate, and
EDI Rule (69L-56, F.A.C.). Seating is limited to 75, and prior
registration is required. Registration preference will be given to
those who have previously submitted a request for future training
and those who have not previously attended an EDI training class.
Please complete and return the EDI Training Registration form to the
Division. » Get form
August 2009
- An updated
Health Care Provider Tutorial [1.5MB
PowerPoint] is available
- The Division of Workers' Compensation announces the
publication of Informational
Bulletin DFS-02-2009 issued on August 12, 2009. This
bulletin deals with employer/carrier reimbursement decisions
regarding pharmaceuticals dispensed by Florida licensed
physicians. All Division bulletins are available under
Informational Memoranda.
-
EDI statistics (paper vs. electronic submissions)
updated
- Rule 69L-6.025 - Conditional Release of Stop-Work Order and
Periodic Payment Agreement was amended effective July 20, 2009.
The amendment provides new language that outlines the terms and
conditions under which an employer qualifies to enter into a new
Payment Agreement Schedule For Periodic Payment of Penalty.
- The recently available
Non-Compliance Referral Database allows individuals to
submit referrals of alleged violations of the workers’
compensation laws. Since June the Division has received 328
referrals. As a result of those referrals, 36 Stop-Work Orders
were issued, resulting in $526,000 in assessed penalties. See
the Databases section for all
Division applications.
- Audio files from the July workshops (69L-7.501 - Florida
Workers' Compensation Reimbursement Manual for Hospitals and
69L-7.602 - Florida Workers' Compensation Medical Services
Billing, Filing and Reporting Rule) are available under
Draft Rules
July 2009
- New Bureau of Monitoring and
Audit statistics are available in the
Statistics section
- A new
Publications
Order Form [16K PDF] (Effective
July 1, 2009)
has been posted under
Publications
- 69L-5 Hearing Transcript
[text file] - from the June 24th
Hearing on the Notice of Proposed Rulemaking for the Division of
Workers' Compensation's Rules for Self Insurers Under the
Workers Compensation Act, 69L-5
- The
Claims Statistics Database has been restored and is
available under Databases
- Claims
EDI section updated
- Compliance statistics have
been updated
- A Hearing on the Notice of
Proposed Rulemaking of 69L-24,
F.A.C. [124K PDF],
Workers' Compensation Insurers' Standards and Practices,
WILL be held on Wednesday, August 5, 2009;
10:00am-12:00pm in Room 104 J Hartman Bldg., 2012 Capital Circle
SE, Tallahassee, Florida.
- The Division has published the assessment rates for the
Workers' Compensation Administration Trust Fund (WCATF) and
Special Disability Trust Fund (SDTF), in Informational Bulletin
DFS-03-2009 [3.5MB PDF] and
Assessment Rate Orders number 105011-09-WC and 105012-09-WC. The
assessment rate for the WCATF will be 0.80% for calendar year
2010. For the 2009-2010 fiscal year, the SDTF assessment rate
remains at 4.52%. All division bulletins are available under
Informational Memoranda.
June 2009
- A Hearing on the Notice of Proposed Rulemaking for the
Division’s Draft rule 69L-24
[124K PDF], Insurers' Standards and Practices, will be
held if requested within 21 days of the date the Notice was
published. If requested, the hearing will be
held on Wednesday, August 5, 2009 at 10:00 a.m. in Room 104 J
Hartman Bldg., 2012 Capital Circle SE, Tallahassee, Florida. If
a hearing is not requested, it will not be held.
- Division Rule Workshop Notice:
69L-6.012, F.A.C.
[15K PDF] - Notice of Election to be Exempt
- The Division of Workers' Compensation will hold a rule
workshop the purpose and effect of which is to amend Rule
69L-7.501, Florida Administrative Code, to adopt by reference
the Florida Workers' Compensation Reimbursement Manual for
Hospitals, 2009 Edition.
The Florida Workers' Compensation Reimbursement Manual for
Hospitals, 2009 Edition [1MB PDF]
will incorporate Medicare’s Outpatient Hospital Prospective
Payment System payment methodology for reimbursing hospitals for
outpatient bills, with payment adjustment factors of 1.74 times
the Medicare allowed amount for scheduled surgeries and 3.95
times the Medicare allowed amount for other specified
compensable charges, as approved by the Three Member Panel at
its November 20, 2008 public meeting. The proposed Manual also
incorporates a definition for the Medicare Hospital Outpatient
Prospective Payment System, recognizes the Integrated Outpatient
Code Editor and the National Correct Coding Initiative (NCCI)
edits and their updates from the Centers for Medicare and
Medicaid Services (CMS) in the Medicare Hospital Outpatient
Prospective Payment System, and makes technical changes to
include a new manual format, an expanded table of contents and
chapters by topic.
This rule workshop was noticed in the Friday, June 12, 2009
Florida Administrative Weekly and will be held on Tuesday, July
7, 1:00-4:00 pm., in Room 104J, 2012 Capital Circle SE,
Tallahassee, FL. View the proposed manual:
Florida Workers' Compensation Reimbursement Manual for
Hospitals, 2009 Edition [1MB PDF]
- Attention Business Owners and Employers:
The Division is offering free classes regarding Florida’s
Workers' Compensation law and Workplace Safety presented by the
U.S. Dept. of Labor OSHA to business owners, licensed
contractors and others who are interested. There are several
dates and locations available around the State as indicated in
the attached flyer:
English |
Spanish. While there is no fee, advanced registration is
required to assure that you have a seat. Registration Form:
English |
Spanish. Continuing Education Units (CEUs) are available to
those licensed by the
DBPR - CILB,
DBPR - ECLB,
State Fire Marshall - Bureau of Fire Prevention, and the
Florida Water Well Administration. For additional information
you may email
bocseminars@MyFloridaCFO.com or call (813) 221-6518.
- A Hearing on the Notice of Proposed Rulemaking for the
Division of Workers' Compensation's Florida Workers'
Compensation Medical Services Billing, Filing and Reporting Rule,
69L-7.602, Florida Administrative Code will be held if requested
within 21 days of the date the Notice is published. The Notice
is scheduled for publication in the June 12, 2009, Florida
Administrative Weekly. If requested, the hearing will be held on
Tuesday, July 7, 2009 from 10:00 a.m. until noon in room 104 J
of the Hartman Bldg., 2012 Capital Circle SE, Tallahassee,
Florida. If a hearing is not requested, it will not be held. For
additional information please contact Samuel Willis at (850)
413-1898 or
Samuel.Willis@myfloridacfo.com
- The Division has submitted to the Three-Member Panel its
Annual Report on Reimbursement Disputes and Overutilization
[95K PDF].
-
EDI statistics (paper vs. electronic submissions)
updated
May 2009
- The Proof of Coverage
EDI and Claims
EDI sections have been updated
- New Informational Memoranda:
DFS-01-2009 [245K PDF] - Wage Loss
Discount Factor Tables, May 20, 2009
- The Bureau of Data Quality
and Collection page has been updated. All bureau information
can be found under About the
Division.
- A Hearing on the Notice of Proposed Rulemaking for the
Division of Workers' Compensation’s Rules for Self Insurers
Under the Workers Compensation Act, 69L-5, Florida
Administrative Code, will be held if requested within 21 days of
the date the Notice was published. Rule Chapter 69L-5,
F.A.C. is being amended to concurrently repeal and
replace all existing rules with new rules which have been
restructured and renumbered to promote clarity and efficiencies
to the process by which self-insured employers comply with the
duties and obligations associated with the privilege of
self-insuring pursuant to
Chapter 440, Florida Statutes. If requested,
the hearing will be held on Wednesday, June 24, 2009; 10:00am –
12:00pm in Room 104 J Hartman Bldg., 2012 Capital Circle SE,
Tallahassee, Florida. If a hearing is not requested, it will not
be held.
- The following forms have been updated:
SI-5 Self-Insurers Payroll Report,
SI-6 Sample Self-Insurers Irrevocable Letter of Credit,
SI-20 Report of Outstanding Workers' Compensation
Liabilities, SI-23 Service
Company Annual Report Form. All Division forms can be found
under Rules and Forms.
- Updated files and information have been added to the
Claims EDI
section
- The DWC-250 form
[36K PDF] (Notice of Election to be Exempt) has been
updated again
- The Division is pleased to announce the publication of its
first research brief, which focuses on the effects of the
changes to the compensability requirements in SB 50A, which was
the 2003 workers’ compensation legislative reform bill.
- Compliance statistics have
been updated
- Employee Assistance Office
information updated
-
EDI statistics (paper vs. electronic submissions)
updated
April 2009
- The following forms from
Chapter 69L-6 (Workers' Compensation Compliance) have been
updated 4/30/09: DWC-250,
DWC-250i, DWC-250-R,
Request for Duplicate Exemption. These and all other
Division forms can be found under Rules and
Forms.
- The Three-Member Panel has issued its
2009 biennial report [360K PDF] on
methods for improving the workers' compensation medical delivery
system.
- Draft Rule 69L-6.025
[28K PDF] - Conditional Release of Stop-Work Order and
Periodic Payment Agreement
- The Bureau of Employee
Assistance page has changed
- The following Medical EDI forms
have been updated:
Submitter SSL/FTP Instructions for WSFTP Pro 9.0,
SSL/FTP Transfer Instructions,
SSL/FTP Troubleshooting Guide
-
2009 Medical EDI Implementation Guide (MEIG)
[387K PDF] (draft version revised 4/9/09)
- Attention Business Owners and Employers: The Division
is offering free classes regarding Florida’s Workers’
Compensation law and Workplace Safety presented by the
U.S. Dept. of Labor
OSHA to business owners, licensed contractors and
others who are interested. There are several dates and locations
available around the State as indicated in the attached flyer:
English |
Spanish. While there is no fee, advanced registration is
required to assure that you have a seat. Registration Form:
English |
Spanish. Continuing Education Units (CEUs) are available to
those licensed by the
DBPR - CILB,
DBPR - ECLB,
State Fire Marshall - Bureau of Fire Prevention, Florida
Water Well Administration and DFS - Agents. For additional
information you may email
bocseminars@MyFloridaCFO.com or call (813) 221-6518.
-
EDI statistics (paper vs. electronic submissions)
updated
- The Bureau of Compliance
page has been updated. All bureau information can be found
under About the Division.
- Compliance statistics have
been updated
March 2009
- The Florida Workers' Compensation Claims forms have been
updated and are available under the 69L-3 tab of
Rules and Forms. Forms were revised to comply with the
revision of
Section 119.071(5), F.S.
(2007) that precludes an agency from collecting an individual’s
social security number unless such collection conforms to the
specific provisions of that statute. If you have any questions,
please submit your inquiries to
Stephen.Yon@myfloridacfo.com.
-
2009 Medical EDI Implementation Guide (MEIG)
[387K PDF] (draft version revised 3/30/09) - See Draft
Rules on the homepage for more
information.
- Proposed Rule 69L-24,
F.A.C., Insurers' Standards and Practices, has been
revised since the initial notice of rule development was posted.
A second workshop will be held on Wednesday, April 15th, 2009,
at 10:00 a.m. in Room 104 J, Hartman Building, 2012 Capital
Circle, S.E., Tallahassee, Florida.
- The Publications Order Form
[29K PDF] has been updated and is available under
Publications and Manuals
- Correction: The effective date for the Florida Workers'
Compensation Health Care Provider Reimbursement Manual, 2008
Edition was 2/4/09. The manual is available under
Publications and Manuals.
- Claims
EDI section updated
- Audio file of the
February 16, 2009 workshop of proposed rule 69L-5,
F.A.C. [14MB mp3] - See
Draft Rules on the homepage for more
information on this workshop.
- The Medical, Medical Provider,
Managed Care Arrangement
FAQ has been updated and is available on the
Information and FAQs
page
-
EDI statistics (paper vs. electronic submissions)
updated
February 2009
- The following forms from
Chapter 69L-6 (Workers' Compensation Compliance) have been
updated: DWC-250,
DWC-250i,
DWC-250-R,
DWC-251,
DWC-251-R. All Division forms can be found under
Rules and Forms.
- The database listing has been updated--see
Databases for all our online Workers' Compensation
applications.
- Statistics for both the Bureau
of Compliance and EDI have
been updated
- 69L-7.020 Florida Workers' Compensation Reimbursement Manual
for Health Care Providers Rule - The Florida Workers'
Compensation Health Care Provider Reimbursement Manual, 2008
Edition, has been adopted and will become effective 2/4/2009. A
copy can be found below or under the
Publications & Manuals section.
- This News and Updates page has been upgraded for easier
navigation.
- Bureau of Compliance
statistics have been updated
For older news, see the
News Archive.