22 Fla. L. Weekly Supp. 130b
Online Reference: FLWSUPP 2201MELEInsurance — Discovery — Documents — Medical provider is compelled to produce Medicare cost report and charge master as to accepted amounts of payment from various payors and matrix for accepted amounts of payment received on third-party contracts from various payors
SARASOTA MEMORIAL HEALTHCARE FOUNDATION, INC. (PATIENT: PETER MELEHAN), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant. County Court, 12th Judicial Circuit in and for Sarasota County. Case No. 2012 SC 006435 NC. Claim No. 59-A370-883. July 14, 2014. Honorable Phyllis R. Galen, Judge. Counsel: C. Glen Ged, Ellis, Ged & Bodden, P.A., Boca Raton, for Plaintiff. Peter S. Nayrouz, Roig, Tutan, Rosenberg, Martin & Stoller, Zumpano & Bellido, P.A., Deerfield Beach, for Defendant.
ORDER ON DEFENDANT’S MOTIONTO COMPEL BETTER RESPONSES TOSUPPLEMENTAL REQUESTS TO PRODUCE,OVERRULE OBJECTIONS AND FOR SANCTIONS
THIS CAUSE having come before the Court on Defendant’s Motion to Compel Better Responses to Supplemental Requests to Produce, Overrule Objections, and for Sanctions and the Court having heard argument of counsel, and being otherwise advised in the Premises, it is hereupon,
ORDERED AND ADJUDGED that said motion be, and the same is hereby:
GRANTED.
1) Within 30 days from June 30, 2014, Plaintiff shall produce the Hospital’s Medicare Cost Report & Charge Master as to the accepted amount of payment from various payors including but not limited to PPOs, HMOs, Medicare, Worker’s Compensation, and other insurance carriers, for the CPT codes at issue, for the three (3) months before the first date of service at issue to three (3) months after the last date of service at issue.
2) To avoid the disclosure of any trade secret or proprietary information, Plaintiff shall identify said insurance provider by number and type of carrier, i.e., HMO1 [reimbursement amount]; HMO2 ___; PPO1 ___, PPO2, PIP1, PIP2, WORKCOMP1, etc;
3) Within 30 days from June 30, 2014, Plaintiff shall produce a Matrix for the accepted amount of payment received on its Third Party Contracts from various payors for three (3) months before the first date of service at issue to three (3) months after the last date of service at issue;
4) The Court reserves ruling on Defendant’s request for Sanctions.
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