The Florida Division of Workers’ Compensation (DWC) has adopted the Florida Workers’ Compensation Reimbursement Manual for Hospitals. This edition replaces the 2006 manual and will become effective on January 1st, 2015. NCCI estimates that the new rules will save a total of $26 million, $16 million of which will come from outpatient services. One significant change in the manual will increase the dollar amount at which hospitals can abandon the maximum reimbursement allowances and receive payments based on a percentage of “usual and customary” charges, similar to Louisiana’s hospital schedule. This dollar amount, known as the stop-loss reimbursement threshold, is equal to $59,891.
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Access the new manual from the Florida DWC here.