Wednesday, August 9, 2017

Florida Department of Financial Services - Division of Workers’ Compensation Breakout

8:30 – 12:00 pm    
Grand Ballroom 8B                     
Convention Level
(Entrance through corridor between Grand Ballrooms 7 & 8)

Handout
  
8:30 – 10:30 am    
Regulatory and Legislative Update

Speaker:
Andrew Sabolic
Assistant Director
Division of Workers’ Compensation
Department of Financial Services
Tallahassee, FL

Andrew Sabolic, Assistant Director, will update the attendees on significant regulatory and legislative changes impacting Florida’s workers’ compensation system. Per section 440.13(12), F.S., the 2017 edition of the Three-Member Panel Biennial Report, legislative and regulatory recommendations surrounding medical authorization, facility charges, and drug formularies will be discussed. He will review other relevant administrative rule activity and various Division projects.
    
Claims’ Handling from the Regulatory Perspective
    
Panel:
Charlene Miller
Bureau Chief of Monitoring & Audit
Division of Workers’ Compensation
Department of Financial Services
Tallahassee, FL
    
Lisel Laslie
Bureau Chief of Data Quality & Collection
Division of Workers’ Compensation
Department of Financial Services
Tallahassee, FL

Charlene Miller, Bureau Chief of Monitoring & Audit, and Lisel Laslie, Bureau Chief of Data Quality & Collection will outline the various roles of the Division during the life of a workers’ compensation claim. They will present data and findings related to audit outcomes (section 440.525, F.S.), best-practices of top performing carriers, demonstrate impacts of regulatory activities (69L-24, F.A.C. and 69L-56, F.A.C.), and deliver statistics and trends from previous fiscal years. 
    
10:30 – 10:45 am    
Break
    
10:45 – 12:00 pm    
Use of Regulatory Data

    
Speaker:
Brittany O’Neil
Senior Policy Coordinator
Division of Workers’ Compensation
Department of Financial Services
Tallahassee, FL

Brittany O’Neil, Senior Policy Coordinator, will review how the Division is leveraging electronic claims, medical, and policy data reported to the Division as required by statute (69L-7.730, F.A.C. and section 440.185, F.S.). By accessing and providing this data in different ways, such as new applications, reports, and data-applied methodologies, the Division is providing unique services to carriers, employers, and other claims-handling entities to identify where they can increase their regulatory and business performance. 
    
Medical Services Update
    
Speaker:
Theresa Pugh
Program Administrator
Medical Services Section
Division of Workers’ Compensation
Department of Financial Services
Tallahassee, FL

Theresa Pugh, Program Administrator, Medical Services Section will give an update on recent rulemaking activity in the workers’ compensation medical arena including:

•Medical Billing and Reporting Rule (69L-7.710 - 7.750, 69L-8.071 – 8.074).
•Reimbursement Manual updates (69L-7.020, 69L-7.100, 69L-7.501). 
•Dispute Rule (69L-31). 
•Expert Medical Advisors Rule (69L-30). 
•Reimbursement Dispute Rule (69L-31).