Florida Looks to Fix Loophole in PIP Reform Law

Florida regulators are scrambling to repair a loophole in a state’s new vehicle no-fault word law that could impact medical payments to health caring providers and trigger a spate of lawsuits opposite a law.

Florida Gov. Rick Scott final week sealed into law a rewrite of a state’s vehicle personal damage insurance law.

Sponsored by Rep. Jim Boyd (R-Manatee), a new law requires collision victims to news an auto-related damage and find diagnosis within 14 days. Policyholders could accept adult to $10,000 in advantages for puncture medical caring and $2,500 for other reduction critical injuries.

Since a new law was authorized by lawmakers, however, regard has grown over reimbursements to medical providers.

Under a new law, medical providers might assign insurers and harmed parties a reasonable volume for services, that could embody a use of a sovereign Medicare remuneration rates. That apportionment of a check is effective Jul 1.

However, a new list of authorized medical providers authorised to provide PIP patients does not take outcome until Jan 1, 2013. That list includes physicians, hospitals, and chiropractors.

Provider groups are disturbed that insurers will omit a Jul 1 effective date and not make medical payments until a Jan 1 provider list becomes law, ensuing in a six-month opening where providers are not paid for treating PIP patients.

The state’s Agency for Health Care Administration expelled a three-page memo that it hopes will discharge a six-month gap. AHCA is a state group in assign of chartering PIP medical providers.

AHCA’s General Counsel Stuart Williams concurred that a opening places a group in a formidable position since if a group can't emanate licenses until Jan 1, technically it can't make laws requiring insurers to make payments.

Williams, however, pronounced a group would provide a Jun 1 effective date and Jan 1 effective date as radically a same and need insurers to repay providers.

“The group believes that a law relates a same effective date of Jan 1,” Williams wrote.

That raises a authorised doubt of either a state group has a authorised management to repair a dispute within a law and attorneys are already pulling brazen to take a emanate to court.

Even Williams concurred a law “places a group in a conundrum.” But for now a memo is a agency’s best pierce to do something before Jun 1.

The state’s other choice is to go brazen with drafting a rule, though that could take months and expected would be challenged.

Florida Office of Insurance Regulation Jack McDermott pronounced that during this indicate a matter stands with AHCA. “The purpose of a check was not to emanate a 6 month opening and we’ve speedy insurers secretly that PIP providers should be paid,” McDermott said.