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Information
How to Maximize Florida PIP Billing & Coding (On Demand)
Length: 90
Topics:
- Achieving 100% EMC (Emergency Medical Condition) approval
- CPT codes for rehab (97110, 97530) and modalities (e.g., laser, decompression)
- Modifiers 59, XS, GP, 25 for claim accuracy
- Timely filing rules (14-day and 35-day deadlines)
- Co-insurance, deductibles, and Florida’s $10,000 PIP cap
- Creating a PIP Billing & Coding Compliance Manual
- Documenting reps/sets for timed services
- Billing for extremity adjustments and MRI reviews
- Medicare 200% fee schedule applications
Why Attend:
- Avoid Statutory Violations: Prevent accusations of "pre-determining care" through compliant documentation
- Maximize Revenue: Unlock billing for extremities (98943) and shockwave therapy (CPT 0019T)
- Reduce Denials: Master modifier use (e.g., 25 for E/M services) and timed coding for rehab
- Compliance: Align with Florida’s Agency for Health Care Administration (AHCA) standards to avoid penalties
Dr. Marty Kotlar, Target Coding
MARTY KOTLAR, DC, CPCO, CBCS is the President of Target Coding. Over the last 15 years, Target Coding has helped thousands of healthcare providers and their staff members with compliance as it relates to billing, coding, documentation, Medicare & HIPAA. Dr. Kotlar is certified in compliance, a certified coding specialist, a contributing author to many coding and compliance publications and a guest speaker at many state association conventions.
