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Florida Workers’ Comp Revises Wording on Payment to Surgical Centers

The Florida Division of Workers’ Compensation has made a tweak to its proposed reimbursement manual for ambulatory surgical centers.

The change, posted after a Jan. 12 hearing on the issue, would clarify the wording by removing the words “for which there is no dispute as to the medical necessity” in the second sentence of a section of the rule.

The paragraph now reads: “When a carrier denies, disallows, or adjusts payment for ASC charges, in accordance with the time limitation and coding requirements established by statute and by rule, the carrier must remit a minimum partial payment of the ASC’s charges. Minimum partial payment means payment of all non-disputed charges. The payment must accompany the Explanation of Bill Review (EOBR).”


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