9 | 9 | | Page 1 of 3 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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13 | 13 | | |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to payments for health care providers 2 |
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16 | 16 | | and surgical procedures under workers' compensation; 3 |
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17 | 17 | | amending s. 440.13, F.S.; increasing the maximum 4 |
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18 | 18 | | amounts of certain witness fees related to workers' 5 |
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19 | 19 | | compensation cases; increasing the maximum 6 |
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20 | 20 | | reimbursements for physicians and surgical procedures 7 |
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21 | 21 | | under workers' compensation; providing an effective 8 |
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22 | 22 | | date. 9 |
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23 | 23 | | 10 |
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24 | 24 | | Be It Enacted by the Legislature of the Stat e of Florida: 11 |
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25 | 25 | | 12 |
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26 | 26 | | Section 1. Subsection (10) and paragraphs (f) and (g) of 13 |
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27 | 27 | | subsection (12) of section 440.13, Florida Statutes, are amended 14 |
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28 | 28 | | to read: 15 |
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29 | 29 | | 440.13 Medical services and supplies; penalty for 16 |
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30 | 30 | | violations; limitations. — 17 |
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31 | 31 | | (10) WITNESS FEES.—Any health care provider who gives a 18 |
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32 | 32 | | deposition shall be allowed a witness fee. The amount charged by 19 |
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33 | 33 | | the witness may not exceed $300 $200 per hour. An expert witness 20 |
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34 | 34 | | who has never provided direct professional services to a party 21 |
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35 | 35 | | but has merely reviewed medical r ecords and provided an expert 22 |
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36 | 36 | | opinion or has provided only direct professional services that 23 |
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37 | 37 | | were unrelated to the workers' compensation case may not be 24 |
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38 | 38 | | allowed a witness fee in excess of $300 $200 per day. 25 |
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46 | 46 | | Page 2 of 3 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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51 | 51 | | (12) CREATION OF THREE -MEMBER PANEL; GUIDES OF MAXIMUM 26 |
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52 | 52 | | REIMBURSEMENT ALLOWANCES. — 27 |
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53 | 53 | | (f) Maximum reimbursement for a physician licensed under 28 |
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54 | 54 | | chapter 458 or chapter 459 shall be 150 110 percent of the 29 |
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55 | 55 | | reimbursement allowed by Medicare, using appropriate codes and 30 |
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56 | 56 | | modifiers or the medical reimbursement l evel adopted by the 31 |
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57 | 57 | | three-member panel as of January 1, 2003, whichever is greater. 32 |
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58 | 58 | | (g) Maximum reimbursement for surgical procedures shall be 33 |
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59 | 59 | | 150 140 percent of the reimbursement allowed by Medicare or the 34 |
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60 | 60 | | medical reimbursement level adopted by the thre e-member panel as 35 |
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61 | 61 | | of January 1, 2003, whichever is greater. 36 |
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62 | 62 | | 37 |
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63 | 63 | | The department, as requested, shall provide data to the panel, 38 |
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64 | 64 | | including, but not limited to, utilization trends in the 39 |
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65 | 65 | | workers' compensation health care delivery system. The 40 |
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66 | 66 | | department shall pro vide the panel with an annual report 41 |
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67 | 67 | | regarding the resolution of medical reimbursement disputes and 42 |
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68 | 68 | | any actions pursuant to subsection (8). The department shall 43 |
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69 | 69 | | provide administrative support and service to the panel to the 44 |
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70 | 70 | | extent requested by the panel. F or prescription medication 45 |
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71 | 71 | | purchased under the requirements of this subsection, a 46 |
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72 | 72 | | dispensing practitioner shall not possess such medication unless 47 |
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73 | 73 | | payment has been made by the practitioner, the practitioner's 48 |
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74 | 74 | | professional practice, or the practitioner's pr actice management 49 |
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75 | 75 | | company or employer to the supplying manufacturer, wholesaler, 50 |
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