Florida Administrative Code › 69 - DEPARTMENT OF FINANCIAL SERVICES › 69L - Division of Workers' Compensation › Chapter 69L-30 - EXPERT MEDICAL ADVISORS › Section 69L-30.002 - Definitions

Current through Reg. 50, No. 138; July 16, 2024
For purposes of this rule the following definitions
				  apply:
(1) "Board certification" or
				"board certified" means the physician has been awarded board certification or
				diplomate status by one or more of the national specialty boards recognized by
				the State of Florida Department of Health.
(2) "Board eligible" or "board eligibility"
				means the physician has been determined eligible to take the board
				certification examination by one or more of the applicable national specialty
				boards recognized by the State of Florida Department of Health.
(3) "Department List of Certified Expert
				Medical Advisors" (hereinafter "Certification List") is the electronic list of
				physicians approved as Expert Medical Advisors.
(4) "Expert Medical Advisor" (hereinafter
				"EMA") is a physician certified by the Department of Financial Services
				("Department"), or appointed by a Judge of Compensation Claims ("JCC") under
				paragraph  440.13(9)(c),
				F.S., to render peer review or expert medical consultation, opinions, and
				testimony, within the advisor's specialty area, concerning issues related to
				reimbursement, differing opinions of health care providers, and physician and
				health care services rendered under the Florida Workers' Compensation health
				care delivery system.
(5) "Expert
				Medical Advisor Certification" (hereinafter "EMA Certification") is the
				application process through which a physician must demonstrate eligibility by
				submitting the required information and documentation and satisfactorily
				completing the online EMA Tutorial to be approved to render expert medical
				opinions regarding medical services provided under chapter 440, F.S.
(6) "DWC Medical Services Web Portal" means
https://msuwebportal.fldfs.com/
,
				the Department website that contains Form DFS-F2-2192 (
http://www.flrules.org/Gateway/reference.asp?No=Ref-08174
),
				Expert Medical Advisor Certification Portal, rev. 04/2017, which provides
				physicians with the means to navigate the online EMA certification process and
				is incorporated by reference herein.
(7) "EMA Certificate" is the written
				documentation issued by the Department authorizing a physician to perform EMA
				services pursuant to section
				 440.13, F.S.
(8) "EMA Tutorial" means the Department,
				Division of Workers' Compensation ("DWC"), Expert Medical Advisor Certification
				Tutorial, which is accessible online at the DWC Medical Services Web Portal.
				The EMA Tutorial provides subject matter information and then tests the
				applicant's knowledge of section
				 440.13, F.S., and applicable
				administrative rules adopted by the Department.
(9) "Examination" means an Independent
				Medical Examination as defined in paragraph
				 440.13(1)(i),
				F.S.
(10) "Physician" is as defined
				in paragraph  440.13(1)(p),
				F.S.
(11) "Temporary EMA" is a
				physician identified by the Department for temporary certification, who is
				board certified in a specialty area in which no Certified EMA is available to
				render the services necessary for the Department to fulfill its statutory
				responsibilities under chapter 440, F.S.
Rulemaking Authority
					 440.13(9),
					 440.591 FS. Law Implemented
					 440.13(9)
					 FS.
New 1-23-95, Formerly 38F-54.002, Amended 10-11-06,
					 Formerly  59A-30.002, Amended 3-1-16,
					 5-18-17.