Florida Medical Association Annual Meeting
July 29 to July 31, 2016
Disney’s Yacht & Beach Club Resort
The Goal of the Florida Society of Pathologists is to represent the interests of the patients, the public and pathologists by promoting excellence in pathology services in the State of Florida through education, legislative initiatives and communication.
This will be one of the hottest issues in the 2016 Session:
The Florida Office of Insurance Regulation will support efforts to limit what physicians can charge insured patients who seek emergency medical care from out-of-network providers, reports Christine Sexton of Politico.
Support Bill HR 5721 on LCD
July 18, 2016
Please take action and let your representative know you support bill, HR 5721, and urge them to be a co-sponsor. Last year at this time the FSP was fighting draft LCD on special stains from First Coast Service Options, our Medicare carrier. This directly affects us as pathologists!
Balance Billing and Preferred Provider Organizations
July 5, 2016
Prior to 2016, the laws that regulated balance billing with regard to enrollees of health maintenance organizations (HMOs) did not apply to preferred provider organizations (PPOs). The basic rule in section 641.3154, Florida Statutes - If an HMO is liable for services rendered to a subscriber by a provider, regardless of whether a contract exists between the organization and the provider, the organization is liable for payment of fees to the provider and the subscriber is not liable for payment of fees to the provider – applied only in the HMO context. Physicians who did not participate in their patient’s PPO were free to balance bill the patient when the insurance company did not pay the physician’s full charge.
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