In a 55-page decision, the Florida Supreme Court on Thursday struck down the prevailing-party attorneys' fees provision of the state's workers' compensation law, finding the mandatory fee structure is an unconstitutional violation of a worker's due process rights.
Many of you have been keeping up with the various Allstate cases on interpretation of the policy provisions that incorporate (or don’t incorporate) the 2012 changes to the PIP statute – specifically, incorporation of the PIP fee schedule in clear and unambiguous language, into the policy of insurance.
Some sole proprietors and some incorporated sole practitioners are reporting being denied reimbursement because they are not billing as a group (business) in field 33. Although an official explanation has not been obtained that describes what is occurring, this appears to involve the need for a second NPI number.
It has now been over a month since ICD-10 went into effect. Are the PIP carriers accepting ICD-10 codes? With some ambiguity in the PIP statute, most auto carriers announced they would only accept ICD-10. However, not all auto carriers announced how they interpreted the PIP statute.
As you all should know, HHS is switching to ICD-10 as of October 1, 2015. Many of your billing software systems are set up to incorporate that change. But, what about PIP? Does that billing switch to ICD-10 as well? The short answer is, who knows based upon the ambiguity in the statute, but, probably, YES. Based upon conversations between ChiroCode and Auto Carriers, you should likely switch to billing with ICD-10.
Insurance News 