| 1 | Representative(s) R. Garcia offered the following: |
| 2 |
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| 3 | Amendment to Amendment (170133) (with title amendment) |
| 4 | Between lines 1792 and 1793, insert: |
| 5 | Section 42. Paragraph (g) of subsection (1) of section |
| 6 | 400.9935, Florida Statutes, is amended to read: |
| 7 | 400.9935 Clinic responsibilities.-- |
| 8 | (1) Each clinic shall appoint a medical director or clinic |
| 9 | director who shall agree in writing to accept legal |
| 10 | responsibility for the following activities on behalf of the |
| 11 | clinic. The medical director or the clinic director shall: |
| 12 | (g) Conduct systematic reviews of clinic billings to |
| 13 | ensure that the billings are not fraudulent or unlawful. Upon |
| 14 | discovery of an unlawful charge, the medical director or clinic |
| 15 | director shall take immediate corrective action. If the clinic |
| 16 | performs only the technical component of magnetic resonance |
| 17 | imaging, static radiographs, computed tomography, or positron |
| 18 | emission tomography, and provides the professional |
| 19 | interpretation of such services, in a fixed facility that is |
| 20 | accredited by the Joint Commission on Accreditation of |
| 21 | Healthcare Organizations or the Accreditation Association for |
| 22 | Ambulatory Health Care, and the American College of Radiology; |
| 23 | and if, in the preceding quarter, the percentage of scans |
| 24 | performed by that clinic which was billed to all personal injury |
| 25 | protection insurance carriers was less than 15 percent, the |
| 26 | chief financial officer of the clinic may, in a written |
| 27 | acknowledgment provided to the agency, assume the responsibility |
| 28 | for the conduct of the systematic reviews of clinic billings to |
| 29 | ensure that the billings are not fraudulent or unlawful. |
| 30 |
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| 31 | ======= T I T L E A M E N D M E N T ======= |
| 32 | Between lines 1872 and 1873, insert: |
| 33 | amending s. 400.9935, F.S.; revising a requirement for |
| 34 | systematic reviews of clinic billings by a clinic medical |
| 35 | director; |