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Legislative update regarding Billing

Friday, May 27, 2016   (0 Comments)
Posted by: DCMS
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Legislative Update from the Florida Board of Medicine:

Relates to Transparency in Health Care

Effective Date: July 1, 2016

Governor Scott signed HB 1175 into law on Thursday, April 14, 2016.  It relates to billing.  This bill amends section 456.0575, Florida Statutes and requires health care practitioners to: 

  • Provide a patient, before providing non-emergency medical services in a facility licensed under chapter 395, and upon his or her request, a written or electronic good faith estimate of anticipated charges;
  • Provide the estimate to the patient within seven business days after receiving the request;
  • Inform the patient that he or she may contact his or her health insurer or health maintenance organization for additional information concerning cost-sharing responsibilities;
  • Provide information to uninsured patients and insured patients for whom the practitioner is not a network provider or preferred provider that discloses the practitioners financial assistance policy, including the application process, payment plans, discounts, or other available assistants, and the practitioners charity care policy and collection procedures.
    • Providing the estimate does not preclude the actual charges from exceeding the estimate.

The practitioner is not required to adjust the estimate for any potential insurance coverage.

 Failure to provide a patient with the estimate, without demonstrating good cause, shall result in disciplinary action against the practitioner and a daily fine of $500 until the estimate is provided to the patient. 

Relates to the Prescription Drug Monitoring Program

Effective Date: July 1, 2016

Governor Scott signed SB 964 into law on Friday, April 1, 2016.  It relates to the Prescription Drug Monitoring Program (PDMP).  Section 893.055, Florida Statutes has been changed to allow a practitioner to assign a designee to have access to the PDMP on his or her behalf.

To read these bills, click here.