PERSONAL INJURY PROTECTION LAWYER IN FLORIDA
A Florida PIP lawyer is an advocate for both personal injury medical providers and injured patients.
Our goal is to make sure that practitioners are paid correctly and timely for the services rendered, and monitor the patient’s treatment to avoid any claim underpayment or denials. Get Paid Fast! We ensure a fair and timely compensation process for healthcare practitioners who dedicate themselves to the well-being of injured patients. We navigate the intricate web of PIP collections, tirelessly working to guarantee that medical providers are reimbursed accurately for the valuable services they render. Beyond financial considerations, our commitment extends to monitoring the entire spectrum of patient treatment, safeguarding against potential pitfalls such as claim underpayments or denials.
WHY CHOOSE US?
Monthly Status Updates
24-Hour Demand Turnaround
Exceptional Customer Service
“We have an experienced team, faster than average turnaround times and amazing results & payouts."
PERSONAL INJURY PROVIDER RESOURCES AND EVENTS
LUNCH AND LEARNS
Let us train your staff in the latest billing practices against insurance companies, we will bring the lunch. Lunch and learn topics include:
20 Ways to get Paid in 2021 | Telehealth Billing Codes Midst COVID-19. | Billing PIP 101 | Legislative Updates 2021 | Full and Final Payments | PI Front Desk Training
5 YEAR FILE REVIEW
Personal injury protection is an area of law that is quickly changing its landscape, so it is beneficial to conduct regular audits to ensure proper payments.
Our goal is to ensure swift payment of all medical bills that were timely submitted, while having clear lines of communication and transparency with your practice.
TELEHEALTH CPT BILLING CODES
Bridge the gap in treatment of your injured patients by using telemedicine. The quick guides highlights CPT Codes for new patients, existing patient, and evaluation codes.
Download the e-book to learn which codes to use for telehealth visits during COVID-19.
PIP Collections 2.0
Changes in the Law: House Bill 837 (SB 236)
Florida House Bill 837/SB 236, prioritizing insurance industry profits over protections for insureds, swiftly passed both branches and was signed into law within 12 hours of presentation. The bill not only restricted fair compensation for injured parties but also eliminated Florida Statute 627.428, which held insurance companies accountable for legal fees when individuals sued them. This removal hinders medical providers’ ability to challenge insurance denials and reductions, allowing insurance companies to deny or reduce claims with impunity unless challenged.
It eliminates FL. Statute. 627.428 and forces individuals and medical providers to pay their own attorney’s fees when disputing a denial or reduction from an insurance company, even if they win.
It reduces the statute of limitations for negligence cases from four years to two years. This amendment means that individuals now have a shorter timeframe in which to initiate legal action for negligence claims.
It puts the burden on doctors to justify their charges if they are higher than Medicare and/or private pay when dealing with LOP’s.
Makes it virtually impossible for citizens to bring forth any bad faiths causes of action against insurance companies, eliminating all checks on the insurance industries deny, delay don’t pay approach to claims.
The PIP Collections Landscape:
According to recent statistics from the Insurance Information Institute, PIP claims represent a significant portion of insurance transactions in Florida, emphasizing the importance of navigating this landscape efficiently. With an increasing number of auto accidents, chiropractors and medical providers find themselves at the forefront of PIP collections, striving to secure fair reimbursement for their services.
The process of PIP collections involves intricate steps, from filing claims to negotiating with insurance carriers. Recent data highlights that a substantial percentage of medical providers face challenges in receiving correct and timely payments for their services. This underscores the necessity of a proactive approach to PIP collections, ensuring that every dollar owed is accounted for.
Fischetti Law Group: Advocates in PIP Collections Audits:
The Fischetti Law Group has helped personal injury medical providers collect $25 million+ over the past 19 years on unpaid, underpaid or denied personal injury protection bills. Our office prides itself on its aggressive collection strategy while limiting the disruption of our medical providers business and keeping the provider updated on the progress of their cases.
By partnering with Fischetti Law Group, medical providers gain access to a dedicated team that not only understands the nuances of PIP law but is also driven by the mission to secure rightful compensation for healthcare practitioners. Through meticulous file audits, Fischetti Law Group guarantees a streamlined process, allowing medical providers to focus on delivering optimal patient care.
Frequently Asked Questions
Florida Statute sections 627.730 through 627.7405 are known collectively as the “Florida Motor Vehicle No-Fault Law.” The No-Fault law is frequently referred to as Personal Injury Protection or PIP law. The legislative purpose of the No-Fault law is provided in Florida Statute 627.731 which reads:
The purpose of ss. 627.730-627.7405 is to provide medical, surgical, funeral, and disability insurance benefits without regard to fault, and to require motor vehicle insurance securing such benefits, for motor vehicles required to be registered in this state and, with respect to motor vehicle accidents, a limitation on the right to claim damages for pain, suffering, mental anguish, and inconvenience.
The legislative goals of the No-Fault Law were to lessen the congestion of the Court system, reduce automobile insurance premiums, and assist persons injured in automobile accidents by providing them with medical care without driving them into dire financial straits with the possibility of swelling the public relief rolls. Lasky v. State Farm Insurance Company, 296 So. 2d 9 (Fla. 1974).
The intent was to provide the injured motorist with speedy payment for medical expenses, lost wages, or death benefits to an estate. Id. See also Cosme v. Fidelity National Insurance Co., 5 Fla. L. Weekly Supp. 656, 657 (Fla. 11th Cir. Court 1998)(the purpose of the PIP statute is to maximize the benefits available to an insured under the policy); Assi v. Florida Auto Auction of Orlando, 23 Fla. L. Weekly D2055 (Fla. 5th DCA 1998); Allstate Insurance Co. v. Ivey, 774 So.2d 679 (Fla. 2000)(the purpose of the no-fault scheme is to provide swift and virtually automatic payment so that the injured may get on with his life without undue financial interruption).
The long-standing policy of Florida courts has been to construe the No-Fault Act liberally in favor of the insured and give effect to the legislative purpose of providing broader and a more liberal standard of coverage. In exchange, the owner or operator of the motor vehicle would be exempted from tort liability except in certain limited circumstances.
Medical expenses: PIP coverage in Florida can cover medical and surgical treatment, dental and optometric treatment, ambulance and nursing services, medication, medical supplies, and prosthetic devices.
Lost wages: If you are unable to work due to accident-related injuries, PIP could help you recover lost wages.
Substitute services: If accident-related injuries keep you or those covered from performing household tasks, like cleaning, PIP could help pay for substitute services, like a cleaning crew.
Funeral expenses: If accident-related injuries result in death, PIP could help pay for funeral expenses.
The Florida 14-day accident law requires that anyone who has been injured in a car accident must get medical care within 14 days of the accident in order to receive any PIP (Personal Injury Protection) benefits.
An Emergency Medical Condition often called an EMC, is a medical report which can be issued by a doctor after an auto accident. The purpose of the EMC is to cause the auto insurance company to release the full amount of coverage for medical expenses. Florida PIP coverage is required coverage for automobile owners in the state of Florida.
If your auto accident injuries result in an Emergency Medical Condition requiring you to return to a doctor or chiropractor after your initial exam, it is important to have the documentation of the initial injury completed promptly. While the medical condition may not seem like an “emergency” for the emergency room, the PIP insurance terminology still labels it an Emergency Medical Condition, and still requires the EMC report.
We will need the following three documents to get your demand started:
- Assignment of Benefits
- Ledger or HCFA Forms
- Insurance Name and Claim Number
You can send us the documents via fax, email, or request an audit.
Secure Fax: 561-903-7986
Secure E-mail: email@example.com
Our office prides itself on requiring little to no involvement from our providers staff. In fact most times the providers do not even know we are there and we also respect the providers policies and procedure when doing audits.
Or office sends out updates every 30-40 days on all of a providers cases. This is a great way to keep open communication with a provider so that they can accurately keep track of the status of the cases that FLG is handling.
It is our experience that about 70% of the monies owed to providers is collected within 45 days of submissions of the demand with the remaining