Florida's Recent News

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

 Published on: Dec 7, 2015 @ 05:17 Please see the attached Proof of Mailing Affidavit. It is to be used when an insurance company claims that the bills were never received and when your office doesn’t have a certified mail card. Click here to see a nice PDF that you can download for free This form should only be completed when the insurance company claims they did not receive the bills. It should not be sent to the insurance company unless

The Law: (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. My Interpretation of the Law: Even if a patient is seen by an EMT/ambulance for blood pressure/concussion then that will cover the 14 day rule. There is no rule

Yes! Your PIP files are worth money! Since January 2008 the insurance companies have been paying 80% of medical bills that they capped at 200% of Medicare fee schedule. They were actually supposed to pay 80% of whatever a doctor billed. This means that you are basically owed money for every single patient if you sent a bill to PIP insurance. There are a few exceptions but 99% of the medical providers who billed PIP are owed money. For example,

Can a PIP investigator demand to inspect my office? Can a PIP adjuster ask to inspect my office? Does a doctor need to allow a PIP adjuster to inspect the facility? My office received about five phone calls so far this week from doctors wanting to know if PIP adjusters/investigators have a right to inspect their office and take pictures. PIP insurance companies are probably doing this to other doctors in Florida so I wanted to let everyone know your