This month, the Health Law Section of The Florida Bar published an article Ms. Bittinger wrote on Florida case law regarding what amount insurers should pay non-par (or out of network) providers. Ms. Bittinger analyzed two cases in which courts grappled with the “usual and customary” payment standard. Should the Medicare Physician Fee Schedule should be considered in determining what is usual and customary (even though it’s not negotiated at arm’s length?). Read here to find out.
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