FCA Logo
Advertisement
Advertisement
Home arrow Laws & Rules
2019 Events
 
Laws & Rules


Florida Supreme Court Rules in Favor of Providers in PIP Deductible Case The Issue Is Now Final
Thursday, 03 January 2019

Just before the close of 2018, and in an unusual unanimous decision by the Florida Supreme Court, the years-old issue of how a PIP insurer should apply the deductible to medical bills was finally decided in favor of the providers!  In this case with Florida Hospital, it meant the difference of $200 each and every time Progressive improperly calculated the $1,000 deductible.  See Progressive Select Ins. Co. v. Florida Hospital Medical Center, 44 Fla. L. Weekly S59a (Fla. December 28, 2018)

Login or Join to read more...
 
Florida Arrests for CBD Products Containing THC
Friday, 14 September 2018
The FCA has become aware of several non-chiropractic physician arrests in Palm Beach County and Broward County for selling, distributing and/or possessing CBD with any trace amounts of THC, including the legally allowed limit under Federal law of .03%.  No chiropractic physicians that we are aware of were arrested.
Login or Join to read more...
 
PIP Case Law Update
Friday, 06 April 2018
Just recently, the Florida Supreme Court agreed to hear the issue regarding the application of the PIP deductible.  For years now, the county, circuit, and now appellate courts have issued varying opinions on how insurance companies should apply the PIP deductible.  To the provider’s office, it can mean a couple of hundred bucks on each patient carrying a PIP deductible.  To the insurance companies, it can mean millions.
Login or Join to read more...
 
PIP AND EMCs the Court Rules
Wednesday, 22 February 2017

Third District Court of Appeal Upholds Lower Court Decision That the Disparity in EMC Evaluations Does Not Violate Equal Protection

Last week the Third District Court of appeal upheld a lower court decision stating it was lawful to preclude a chiropractic physician from performing an EMC determination under the PIP statute, finding that part of the PIP statute did not violate the equal protection clause of the Florida Constitution.  Progressive American Ins. Co. v. Eduardo J. Garrido, D.C., P.A. 

Login or Join to read more...
 
PIP Update New EMC Case
Friday, 02 September 2016
Must a patient/insured obtain an EMC determination in order to have access to the full $10,000 in PIP benefits?  Or is it the insurer’s duty to obtain findings that it is not an EMC?

This week the Fourth District Court of Appeal held that YES, the patient/insured must have an EMC determination in order to access the full $10,000 in PIP benefits; that if there is no EMC or if it is silent, the patient/insured is capped at $2,500 in PIP benefits.  Medical Center of the Palm Beaches, d/b/a Central Palm Beach Physicians & Urgent Care, Inc., a/a/o Carmen Santiago v. USAA. To get the full picture and access the opinion, read on.

Login or Join to read more...
 
<< Start < Prev 1 2 3 4 5 Next > End >>

Results 1 - 5 of 23