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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.

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ALERT: Mandatory changes related to Medicare billing effective 9/12/16
Wednesday, 31 August 2016
Florida Regular Medicare Billing Information for September 12, 2016

The First Coast Local Coverage Determination (LCD) for Chiropractic Services has been updated, to be effective for dates of service on and after September 12, 2016.
 
Of immediate importance are the primary diagnosis codes which have changed for billing.     

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Are You Prepared for Mandatory Section 1557 Compliance?
Monday, 15 August 2016
The final rule implementing Section 1557 of the Patient Protection and Affordable Care Act went into effect on Monday, July 18, 2016. Section 1557 is intended to promote equity in health care and prevent discrimination on the basis of race, color, national origin, sex, age or disability in health programs or activities that receive federal financial assistance. Compliance requires posting certain notices in your office and there are consequences for failure to do so if you are not exempt.

Entities that are subject to the Final Rule include physician practices. Read on for a brief outline of the requirements and guidance on who is exempt from this rule.
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First Coast Publishes Implementation Date for New Chiropractic Medicare LCD
Monday, 08 August 2016
First Coast Service Options, the Florida Medicare Contractor, has published an implementation date of September 12, 2016 for the new Chiropractic LCD.
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Changes Coming on Which Diagnoses to Bill for Florida Medicare
Wednesday, 03 August 2016
First Coast Service Options, the Florida Medicare Contractor, will be updating their LCD for Chiropractic Services in the near future.
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