Florida's Recent News

An Administrative Complaint was filed against an IME doctor in Tampa. According to the complaint, the IME doctor received two MRI reports showing a possible labrum tear in the left shoulder and disc herniations in the cervical spine. Here are some blurbs from the Complaint you may find interesting. A pdf of the entire Complaint can be seen by clicking HERE. A reasonably prudent chiropractic physician performing an IME under similar circumstances and conditions would have: -viewed the MRIs and appreciated

Please see the attached Financial Hardship Form. It is to be used when a patient is treating at your office and cannot afford to pay you the full co-pay amount due to financial hardship. Click here to see a nice PDF form that you can download for free A couple of things to remember: FINANCIAL HARDSHIP FORM ________________________ Patient Signature _________________________ Print Patient Name Is Massage Reimbursable Under The New PIP Law? Published on: Apr 17, 2018 @ 12:00 Does PIP

*The law that created the RCA license has been repealed effective July 1, 2020. The law that created the CCPA license is still valid.* Hi all! I’ve received a lot of questions about “registered chiropractic assistants” and what they can and cannot do. I’ve decided to research it and provide my readers with the information they need. (1) What is a Registered Chiropractic Assistant? “Registered Chiropractic Assistant” means a person who is registered by the board to perform chiropractic services

Were your health insurance bills denied or reduced by a health insurer based on a Peer Review by American Speciality Health Group (ASHG)? ASHG is a third party administrator for Cigna and several other health insurers. ASHG basically makes a recommendation to the insurer advising if the treatment was necessary or if a patient was “over treated” with too much physical therapy/chiropractic. Sometimes ASHG will determine if there is enough documentation regarding whether an MRI was necessary. ASHG cites medical

What Every Doc Needs to Know About Three Rivers Network and PIP insurance. Safeco, USAA, and some other PIP insurance companies have affiliated themselves with Three Rivers Network to further discount your medical bills! Be on the lookout for Explanation of Benefits that say “PPO reductions based on Three Rivers Network agreement”. There is a similar company called “Integrated Health Plans” that is doing the same thing – helping reduce your bills. Here is an example of what is happening:

If your website says $20 for massage and you charge insurance companies $40 then you have a DUAL FEE SCHEDULE! If you tell cash patients electric stimulation is $20 and you charge insurance companies $30 then you have a DUAL FEE SCHEDULE! If anyone who calls your office and asks how much you charge for an adjustment and your staff tells them we charge $40 for an adjustment and you charge insurance companies $55 then you have a DUAL FEE