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Care & Billing for PIP Patients

On behalf of its members, the FPTA has been pursuing administrative clarification for elements of the PIP reforms that impact patient access to care provided by physical therapists. FPTA leaders, legislative counsel, and staff have worked diligently through its contacts within the Florida Executive Branch for this purpose. 

After careful analysis the FPTA discovered a provision in the new reforms enacted January 1, 2013 that authorizes “A physical therapist licensed under chapter 486, based upon a referral by a provider described in this paragraph.” to treat and bill for a patient injured in an automobile accident. (Providers who may refer include: physician, osteopathic physician, chiropractor, dentist, physician assistant, or advanced registered nurse practitioner.)

The FPTA pursued this matter by requesting an opinion from the General Counsel of the Office of Insurance Regulation (OIR). The General Counsel of the OIR returned an opinion supporting the FPTA assessment that an individual licensed physical therapist may, upon receipt of a referral from one of the providers (above) listed in statute, treat and bill PIP carriers for services under their individual license. Members may access a copy of the FPTA letter to Belinda Miller, OIR General Counsel, and the OIR response acknowledging the accuracy of the FPTA interpretation by visiting the members only Additional PIP Information page.

The FPTA is communicating this information to its members in hopes that it will ensure your ability to provide services to patients injured in an automobile accident, and bill for the limits of the coverage ($2,500) as indicated in the new PIP law. For further clarification regarding any specific practice administrative operation you may wish to contact Personal Injury Protection carriers as well as your own legal counsel. 

Please note that FPTA member dues dollars supported the advocacy efforts utilizing legal, lobbying, and public relations consultants, as well as FPTA leaders and staff time dedicated to this issue.
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