Florida bill would base outpatient workers’ comp rates on Medicare, require care plan disclosure & more: 4 details

A bill filed in the Florida House of Representatives entails several mandates, including the requirement that physicians disclose more details of an injured worker’s treatment plan to payers, according to Business Insurance.

Advertisement

The key details to know:

1.House bill 1399 would tie outpatient surgery and care payments involving injured workers to a percentage of Medicare rates.

2. The bill would also require providers to break down the amount of each workers’ compensation benefit requested, as well as how the amount was calculated.

3. HB 1399 would permit a compensation claims judge to dismiss a petition if the claimant didn’t make a “good faith effort” to resolve the problem.

4. The bill would create a 260-week cap on temporary total disability benefits, adding an additional 26 weeks if the injured worker hasn’t improved as much as medically possible within five years.

Read more here.

More articles on coding, billing and collections:
South Carolina pain group under investigation for billing fraud related to opioids, urine testing — 5 notes
Tennessee ASC stays in network with UnitedHealthcare as nearby health system’s contract expires — 4 details
3 appeals process strategies for ASCs

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.