What is Florida Workers Compensation able and willing to do to educate/enforce the role of the physician-medical care coordinator?
Florida Workers’ Compensation’s focus is to ensure that carriers’ claims handling practices promote the self-executing features of the system and result in the prompt and accurate delivery of benefits to injured workers at an affordable cost to employers. Florida Workers’ Compensation interprets the statutory language in s. 440.134(1)(i), Florida Statutes, which defines a “medical care coordinator” as a key construct in the carrier’s plan of operation for the successful operation of an approved workers’ compensation managed care arrangement. Accordingly, Florida Workers’ Compensation will refer instances to the attention of the Agency for Healthcare Administration when medical care is delayed or not provided because medical care is not managed by a physician medical care coordinator as the ultimate, responsible party. Florida Workers’ Compensation is well able to distinguish the role of the adjuster in determining whether a claim is compensable and will hold the carrier responsible for
Florida Workers’ Compensation’s focus is to ensure that carriers’ claims-handling practices promote the self-executing features of the system and result in the prompt and accurate delivery of benefits to injured workers at an affordable cost to employers. Florida Workers’ Compensation interprets the statutory language in s. 440.134(1)(i), Florida Statutes, which defines a “medical care coordinator” as a key construct in the carrier’s plan of operation for the successful operation of an approved workers’ compensation managed care arrangement. Accordingly, Florida Workers’ Compensation will refer instances to the attention of the Agency for Healthcare Administration when medical care is delayed or not provided because medical care is not managed by a physician medical care coordinator as the ultimate, responsible party. Florida Workers’ Compensation is well able to distinguish the role of the adjuster in determining whether a claim is compensable and will hold the carrier responsible for
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- What is Florida Workers Compensation able and willing to do to educate/enforce the role of the physician-medical care coordinator?