| Image | Title | Content | Date | Author | |
|---|---|---|---|---|---|
 | Updates To TEFCA, IAS, And The Future Of Medical Record Retrieval For Attorneys And Providers | In the legal world, especially in personal injury and medical malpractice, access to complete, timely medical records can make or break a case. For years, attorneys and medical providers have faced slow, fragmented, and expensive processes to retrieve medical records. That is rapidly changing with … | 2025-July | Tiffanny J. Anghel, MHA | 2025-07-01 06:46:54 |
 | Is A Florida PIP Insurer Allowed To Apply Medicare’s Budget Neutrality Adjustment? | In the complex world of Florida Personal Injury Protection (PIP) claims, one issue that continues to spark legal debate is whether insurers may apply Medicare’s Budget Neutrality Adjustment (BNA) when determining reimbursements owed to medical providers. The short answer? No. Under current Florida law, a … | 2025-July | Christopher M. Tuccitto, Esq. | 2025-07-01 05:57:57 |
 | Succeeding Under Tort Reform Part 7 – The Absurd “Burden-Shift-Scare” in the Trial Courts Appears to be Over | This is the seventh article in a series that lights the way to success under Florida Tort Reform’s Section 768.0427. This article focuses on some recent conflicting trial court orders that address the question of which party has the burden to present the evidence to … | 2025-July | Aaron Proulx Esq. | 2025-07-01 05:53:25 |
 | Bursting The Presumption Bubble: Overcoming EUO No-show Challenges | The presumption of prejudice can be shattered if the medical provider can present evidence that the insurance company’s investigation was not destroyed. Many times insurance companies like to make medical providers believe that if the insured fails to appear to an Examination Under Oath (EUO) … | 2025-July | George A. David, PA | 2025-07-01 05:31:15 |
 | How To Choose The Right Medical Supply Company For Your Practice | Running a successful medical practice requires more than skilled staff and a solid patient base—it demands reliable tools and supplies to deliver top-notch care. Selecting the right medical supply company is a critical decision that impacts your practice’s efficiency, budget, and patient outcomes. With countless … | 2025-April | Matt Snyder | 2025-04-08 11:19:03 |
| Succeeding Under Tort Reform Part 6 – The Price Of The Sale Of An Account Receivable Is Not A Cap On Damages, Is Not Admissible, And Is Not Discoverable | This is the sixth article in a series that lights the way to success under Florida Tort Reform’s Section 768.0427. This article focuses on what may now be the most misunderstood impact of the statute: how a facility’s sale of an account receivable impacts a … | 2025-April | Aaron Proulx Esq. | 2025-04-08 09:47:08 |
 | What Every Biller Should Do To Maximize PIP Collections | Whether your PIP billing is done by a billing company or handled by your in-house staff, there are certain tasks that you must ensure are done consistently in order to get what you deserve for the services you provide patients with PIP coverage. 1. Verify … | 2025-April | Angely C. Maria, Senior Biller & Consultant, AMB Group | 2025-04-08 09:30:37 |
 | The Impact Of Florida Tort Reform On PIP Lawsuits | The “Tort Reform” ushered in by the passage of House Bill 837 (HB 837) on March 24, 2023, marked a significant shift in Florida tort law, particularly in the realm of Personal Injury Protection (PIP) lawsuits. Among the most impactful changes introduced by the bill … | 2025-April | Christopher M. Tuccitto, Esq. | 2025-04-08 09:17:57 |
 | Empowering Patients Through EHR Integration And Individual Access Laws | In the digital age of healthcare, the power of information is shifting— firmly placing patients at the center. Thanks to advancements in Electronic Health Record (EHR) integration and evolving individual access laws, patients are no longer passive recipients of care but empowered advocates for their … | 2025-April | Tiffanny J. Anghel, MHA | 2025-04-08 07:22:28 |
 | Benefits Of Dispensing Orthopedic Bracing In Your Practice | 1. Improved Patient Care and Outcomes Orthopedic braces are designed to support and stabilize injured or weakened joints, ligaments, and muscles. By dispensing bracing products directly within your practice, you can ensure that patients receive immediate and appropriate care. Braces can prevent further injury, reduce … | 2025-January | Matt Snyder | 2025-01-15 13:25:30 |
 | Identity Management In Law Firms: Protecting Against Fraud With Advanced Data Technology | In today’s fast-paced, data-driven world, law firms face increasing risks associated with identity fraud. Handling vast amounts of sensitive client information, including protected health information (PHI), puts legal practices at the forefront of cybersecurity challenges. As healthcare data grows exponentially, accounting for approximately 30% of … | 2025-January | Tiffanny J. Anghel, MHA | 2025-01-15 13:15:18 |
 | Is Manual Muscle Testing Validly Unbundled And Not Compensable By PIP? | Both chiropractors and orthopedic surgeons alike will perform manual muscle testing billed under either CPT codes 95851 or 95832 along with a 99205, 99204 or 99203 office visits. Insurance companies regularly deny manual muscle testing CPT codes on the grounds that the manual muscle testing … | 2025-January | George A. David, PA | 2025-01-10 13:21:14 |
 | 5 Ways Your Front Desk Staff Can Help Improve Your PIP Collections In 2025 | Recent changes in the PI industry have emphasized the importance of ensuring your billing practices are more efficient than ever. As the PIP suit attorneys still struggle to find the best way to continue helping medical providers collect balances owed on their behalf, making sure … | 2025-January | Angely C. Maria, Senior Biller & Consultant, AMB Group | 2025-01-10 13:05:03 |
 | The Pros And Cons Of Participating In Class Actions For Florida PIP Claims | As a Florida medical provider, the work often involves treating patients injured in car accidents and submitting bills to Personal Injury Protection (PIP) insurers. When insurers fail to pay claims in full or act unfairly, providers might find themselves drawn into class action lawsuits. These … | 2025-January | Christopher M. Tuccitto, Esq. | 2025-01-10 09:39:19 |
 | The 2025 New ICD-10 Codes | QUESTION: Dr Kolar, “I have heard there are new diagnosis codes for 2025. Do any of them relate to personal injury?” ANSWER: Yes, there are many ICD-10 code updates that physical therapists, chiropractors, medical doctors and other healthcare providers that treat personal injury patients should … | 2024-October | Marty Kotlar, DC, CPCO, CBCS, COF | 2024-10-02 13:05:53 |
 | Is A Material Misrepresentation Defense The Death Of A Claim? | Most insurance companies do not understand what triggers an insured’s appearance to an examination under oath or giving a statement. One of an insurance company’s favorite methods of wiggling out of coverage is a material misrepresenta- tion defense. A material misrepresentation occurs when an insured … | 2024-October | George A. David, PA | 2024-10-02 12:48:59 |
| Succeeding Under Tort Reform Part 5-reasons Why Tort Reform Is Not A General Cap On Damages | This is the fifth article in a series that lights the way to success under Florida Tort Reform’s Section 768.0427. This article is a slight break in the flow of the series to Issue what appears to be a necessary broad reminder to all personal … | 2024-October | Aaron Proulx Esq. | 2024-10-02 12:44:32 |
 | PIP Billing For Unlisted Services: A Guide For Medical Providers | As medical providers in Florida strive to comply with the complex landscape of billing Personal Injury Protection (PIP) insurance, the question of how much to bill for services lacking established reimburse- ment amounts under the Medicare Part or Workers’ Compensation fee schedules looms large. The … | 2024-October | Christopher M. Tuccitto, Esq. | 2024-10-02 12:30:23 |
 | The Integration Of EMR And Case Management Software | COMPLIANCE, INTEROPERABILITY, AND THE 21ST CENTURY CURES ACT As the legal industry increasingly relies on technology to streamline operations, the Integration of physi- cian electronic medical record (EMR) retrieval with case management software has emerged as a critical advancement. This integration not only enhances efficiency … | 2024-October | Tiffanny J. Anghel, MHA | 2024-10-02 10:27:12 |
 | Shockwave Therapy…can You Afford To Not Have It In Your Practice? | It seems like everywhere you go now you see more and more ads by chiropractors offering shockwave therapy. What exactly is it and why is it becoming so popular?The essential principle behind shockwave therapy (or ESWT) revolves around the action of shockwaves, which are rapid … | 2024-October | Matt Snyder | 2024-10-01 12:27:06 |
 | Insurance Games With PIP Payout Logs | A PIP payout log is by no means the end-all to be all to what the insurance company paid. In exhaustion of benefits cases, the best practice to truly verify of benefits are exhausted is to review explanations of review and copies of canceled checks … | 2024-July | George A. David, PA | 2024-07-25 13:29:10 |
 | The Financial Impact Of Aging Receivables:strategies For Medical Practices | While the primary focus of healthcare providers is patient care, the economic health of a medical practice is equally crucial, as it ensures the practice’s continuity and existence to keep providing quality healthcare to patients. One effective strategy to maintain a steady cash flow is … | 2024-July | Theresa Giordano | 2024-07-10 12:17:12 |
 | Key Ways To Maximize Your Uber/LYFT PI Claims | It seems that filing claims against Uber and Lyst vehicles is a current trend in the Personal Injury world. However, before you jump on the bandwagon, there are a few things you should know. Before ride sharing became as popular as it is today, the … | 2024-July | Michael Mills, Esq. | 2024-07-09 12:08:17 |
| Succeeding Under Tort Reform Part 4 – How subsection(2)(e) may prevent the jury from seeing heath insurance reimbursement rates | This is the fourth article in a series that lights the way to success under Florida Tort Reform’s Section 768.0427. This article will explain how Subsection (2)(e) can be used to prevent the insurance defense industry from presenting the health insurance reimbursement rates discussed in … | 2024-July | Aaron Proulx Esq. | 2024-07-09 11:44:52 |
 | Safeguarding Client Data:8 Easy Cybersecurity Strategies For The Personal Injury Industry | Sharing data has become easier, but securely sharing that data remains elusive for many providers and attorneys. Email is ubiquitous – everyone has it, and patients and clients want to use it. You may think that HIPAA says you cannot, but you can – if … | 2024-July | Andrew Renck | 2024-07-09 10:57:31 |
 | FL Supreme Court Decision Regarding Billed Amount V. PIP Fee Schedule | In a recent decision, the Florida Supreme Court actually strengthened the billed amount statute of FS §627.736(5)(a)(5) which states: “An insurer may limit payment as authorized by this paragraph only if the insurance policy includes a notice at the time of issuance or renewal that … | 2024-July | George A. David, PA | 2024-07-09 10:29:14 |
 | Navigating Refund Requests From Florida PIP Insurance Companies | While it doesn’t occur too often, it’s practically inevitable if you’re a Florida medical provider who treats patients for Personal Injury claims that you will eventually receive a request from a Personal Injury Protection (PIP) insurance carrier for a refund of a supposed overpayment. In … | 2024-July | Christopher M. Tuccitto, Esq. | 2024-07-09 09:43:06 |
 | Don’t Let Your Slip And Fall Case Slip And Fall Through The Cracks | Slip and fall cases have long been the albatross of the personal injury industry. Now, with the implementation of the Florida Tort Reform Act 768.0427 it has become even more of a task to be able to successfully handle these types of cases. This starts … | 2024-June | Michael Mills, Esq. | 2024-06-25 06:48:34 |
 | 2024 Legislative Update | Thankfully, the 2024 legislative session has ended without inflicting any cataclysmic changes on the Personal Injury industry. Although none of them passed, there were some bills introduced in this session that are worth our attention, because they may be resurrected in future sessions. Motor Vehicle … | 2024-June | Christopher M. Tuccitto, Esq. | 2024-06-25 06:28:00 |
 | Knowing The Difference Between Bracing Classifications | One of the most common questions our company gets regarding the billing and coding of orthopedic bracing is what type of brace to prescribe and dispense? When it comes to bracing, the two main classifications are off-the-shelf and custom prefabricated. Knowing the difference can be … | 2024-June | Matt Snyder | 2024-06-24 13:53:55 |
 | Human Error, Legal Consequences: A Deep Dive Into Cybersecurity Best Practices | Human error remains the Achilles’ heel of law firms or medical practices’ cybersecurity. As a partner at Internos, I’ve had the privilege of working with legal professionals, and I’m eager to discuss this vulnerability and how law firms and medical practices can fortify their defenses … | 2024-June | Jairo Avila | 2024-06-24 13:34:23 |
 | How To Objectively Quantify Pain For Impairment Ratings | According to the AMA Guides, “Pain is an essential determinant of the incapacitation of many individuals who undergo impairment evaluation. When pain persists, it has the capacity to dominate a person’s existence, contributing to significant impairment, reduction in the quality of life, functional limitations, and … | 2024-June | Erik Groberg | 2024-06-21 13:04:29 |
| Succeeding Under Tort Reform Part 3 – Satisfied Vs. Unsatisfied Medical Bills | This is the third article in a series that lights the way to success under Florida Tort Reform’s Section 768.042Z This article will provide a deeper analysis of the distinctions between Subsections (2)(a) and (2)(b) and lay the foundation for the deeper dives into the … | 2024-June | Aaron Proulx Esq. | 2024-06-21 10:11:41 |
 | The 14 Day Treatment Rule and how to handle it | I have noticed recently an alarming high rate of PIP claims being denied by various insurance companies based on a patient not receiving treatment within 14 days of the date of the accident. It seems to me that insurance companies have a conference as to … | 2024-March | George A. David, PA | 2024-03-03 09:15:53 |
| Succeeding Under Tort Reform Part 2-An analysis of LOPs | This is the second of several articles on the road to success under Florida Tort Reform’s (FTR) Section 768.0427. That road is paved by a three-tiered response to the statute in which medical providers replace pre-FTR new-patient forms and practices, their attorneys prevail on motions … | 2024-March | Aaron Proulx Esq. | 2024-03-03 08:56:00 |
 | Navigating I.T. Roadmapping in 2024 | How do I ensure my IT infrastructure is not only up to date but also future-proof? As a partner at a managed service provider, I hear this question and others like it often. It makes sense that leaders in the personal injury industry are looking … | 2024-February | Jairo Avila | 2024-02-11 12:50:25 |
 | Which AHCA licenses do I need for my Practice? | When navigating the many licenses that are regulated by AHCA, it can be overwhelming for a medical provider. These licenses can be confusing, cumbersome, and sometimes feel impossible to obtain. One of the most common questions from our providers is, “Which AHCA License do I … | 2024-February | Matt Snyder | 2024-02-03 05:53:13 |
 | Recent 4th DCA Decision: A Winner for medical Providers | A recent decision by Florida’s Fourth District Court of Appeal (4th DCA) is a winner for medical providers who have had services denied by a Personal Injury Protection (PIP) insurer because the code billed does not have an established reimbursement amount under Medicare or Florida … | 2024-January | Christopher M. Tuccitto, Esq. | 2024-01-11 12:30:55 |
 | Building a strong PI case through documentation | To be able to represent your client properly and aggressively to the fullest, the importance of prompt and comprehensive documentation cannot be overstated. This article gives a few key pointers on the type of documentation that is required to have a robust personal injury case. … | 2024-January | Michael Mills, Esq. | 2024-01-06 06:28:43 |
 | Attorney Fee deferral Strategies for Tax Planning | Attorney fee deferral strategies involve delaying the receipt of fees to a future date, often for tax planning reasons. There are several reasons a law firm, or solo practitioner may want to take advantage of these strategies. Here are a few common strategies： Structured Attorney … | 2024-January | Matthew Shiebler, CPA | 2024-01-03 07:00:19 |
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