In Geico Indemnity Company v. Physicians Group, LLC, a/a/o Paul Androski, ____ So.3d ____ (Fla. 2nd DCA August 13, 2010), the 2nd DCA ruled that the PIP fee schedules which went into effect on January 1, 2008, do not apply to any accidents that occurred before that date. The opinion was fairly short and straightforward. Specifically, … Continue Reading
What Can Providers Charge Under PIP After January 1, 2008? For most providers outside of an emergency hospital setting, PIP insurers are allowed to limit reimbursement to 80% of 200% of the Medicare allowable charges. If the CPT code that the provider is billing for is not contained in the Medicare Fee Schedule, then the provider … Continue Reading
