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Carrier Can't Use Fee Schedule to Reimburse Provider for 'Vibe Therapy'

Monday, November 14, 2022 | 0

In a set of related decisions, a Florida appellate court ruled that an insurance carrier could not reimburse a treatment provider according to the lower-paid workers' compensation fee schedule just because it billed for its services under a code that did not have a set price. Case: United Automobile Insurance Co. v. Lauderhill Medical Center LLC, No. 4D21-3336 and No. 4D21-2308, 11/09/2022, published. Facts: Lauderhill Medical Center provided "vibe therapy" to insured parties involved in separate motor vehicle accidents. Lauderhill billed the therapy under code of 97039, which ...

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