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Form- Affidavit of Inoperability

Dear Provider; Please see the attached Affidavit of Inoperability. It is to be used when a patient is treating at your office, owns a motor vehicle, and goes through another person’s PIP insurance policy. Click here to see a nice PDF form that you can download for free This form should be used to CYA in the event the insurance company claims the patient owned a motor vehicle and should have used (or had) their own PIP insurance. It should

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Tell Me More About Separate Anatomic Sites Re NCCI

The NCCI reductions will apply when therapy is performed on the same day as an adjustment unless the provider specifies that it was performed on a separate anatomic site with the 59 modifier. There are five separate spinal regions that qualify: cervical, thoracic, lumbar, sacral, and pelvic. There are five extraspinal regions that qualify:

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Update on TENS Unit post – involves Rick Scott

Hi All. I got some new information about the TENS units because a lot of people have been emailing/calling me about the post. I’m still right about doctors needing a DME license with AHCA to sell a TENS unit, but there was some stuff about Rick Scott that you should know. I updated the post by including the FCA position (per their website) on the matter. If you don’t like the news that you need a license to bill for

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Minimal Recordkeeping Requirements for Chiropractors

Attention all Florida Chiropractors! Are you keeping up with the Minimal Recordkeeping Standards? I’ve seen a lot of different records from chiropractors in Florida and you’ll be surprised (maybe you won’t) that a lot of doctors don’t keep the best records. Here is the law below. It’s also attached here if you want a pdf. 64B2-17.0065 Minimal Recordkeeping Standards. (1) These standards apply to all licensed chiropractic physicians and certified chiropractic assistants. These standards also apply to those examinations advertised

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PIP EMC and 14 Day Rule

The 14 day rule and the EMC rule The Law on the 14 Day Rule: (a) Medical benefits. Eighty percent of all reasonable expenses for medically necessary medical, surgical, X-ray, dental, and rehabilitative services, including prosthetic devices and medically necessary ambulance, hospital, and nursing services if the individual receives initial services and care pursuant to subparagraph 1. within 14 days after the motor vehicle accident. Subparagraph 1 includes care received by a chiropractor, MD, DO, hospital, urgent care center, EMT,

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How Much To Charge For Medical Records

The Florida statutes breakdown the amount you can charge depending on who is requesting the records. Yes, you can request payment up front before you provide the records. Patients, their Lawyers, and Government Entities Insurance Companies, Their Lawyers, and Other Entities You may charge actual costs for the materials, supplies, labor costs, and overhead costs. This means you can charge for cost of the X-ray films, the stamp, the packaging, and employee time.

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Did Insurance Deny Your Manual Therapy Codes by Claiming It Was “Massage”?

Every medical treatment has a Current Procedural Terminology (CPT) code when evaluated and input into an insurance company’s system. CPT codes included in a customer’s policy will be approved for coverage, and excluded CPT codes will be denied. This can cause some trouble for similar therapies with similar CPT codes but greatly different treatment purposes. A common example of CPT code mix-ups is manual therapy (CPT 97140) and massage therapy (97124). Some professionals in insurance, billing, and medical industries inadvertently

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Good Letter of Protection for Florida Doctors

I have received multiple emails from doctors who want a good Letter of Protection that they can use for their office. I have spent several hours drafting this Letter of Protection and here is what you need to know: If your patient signs a Letter of Protection and the lawyer refuses to at least negotiate your bill when the case settles then call my office. We sue lawyers who refuse to pay your LOP.

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Billing Tens Units – Do I Need A License?

Many doctors have asked me if they need a special license to bill DME units like a TENS unit. The short answer is – YES, you do need a license. Most insurance companies are starting to catch on to this special license and they are denying DME (Durable Medical Equipment) CPT codes. Check your Explanation of Benefits from the different carriers. You will notice that you are not getting reimbursed by many insurance companies. See the law on needing the

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What You Need to Know About LOPs- Don’t Get Screwed

About LOPs – Lawyers and Letters of Protection- the RULE BOOK Sorry I haven’t posted any good content in a couple of weeks – I just got back from my honeymoon! Have you treated a patient under a Letter of Protection hoping to get paid when the case settles?Did the case settle and the lawyer never paid your bills? Then this blog post is for you! There are two important rules about Letters of Protections that lawyers must follow: Contract

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Ovadia Law Group – Car Accident Lawyers – Open New Office in Miami

The people of Miami can now more easily depend on Ovadia Law Group and our personal injury and car accident attorneys thanks to a brand new office location. The address of our new Miami office is 3625 NW 82nd Avenue, Suite 304, Miami, FL 33166. We wanted to find a location that is easily accessible, even during the worst rush hour traffic. After all, client convenience and satisfaction are two of the cornerstones of our principles here at Ovadia Law

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How Much is the PIP Fee Schedule Supposed to Pay?

How much does PIP pay for services? PIP allows two times the amount of Medicare Part B (aka 200%). PIP pays 80% of that amount. The link to Medicare’s fee schedule for Florida is at the bottom of this email. The PIP law made Medicare rates in 2007 as the baseline. That means that if 2013 rates are less than 2007 rates then you go with 2007 rates. Medicare rates in 2007 are typically higher than 2012-2013 rates. Also, the PIP law says

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