Medical Billing Forum
Billing => Billing => : MFunk March 08, 2017, 11:17:26 AM
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Does anyone know the law regarding billing a percentage to providers in Florida. I can't find a statute on this. What I read on the OIG is that NY & Florida bars percentage billing for Medicaid claims. But again can't find actual statute on this.
According to the OIG this is if the billing also does the coding. Which I do not. I can't up code because I don't do the coding as stated in my contract. NY medicaid is taking back millions of dollars from providers for this and I just got a Fl. client and long and behold there might be a conflict with billing a percentage here.
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My understanding is that FL is also a no % billing state. I don't have anything to point you to other than that I know that it is considered fee splitting in FL.