United States: What Is An ARNP/PA Reduction?

I recently reviewed a case where there was an ARNP reduction, and it prompted a fresh review of the law in this area of PIP litigation.

What is an ARNP/PA Reduction?

The Centers for Medicare and Medicaid Services provides for a reduction of 15% when medical services and care, as identified in Florida Statutes §627.736, are provided by an Advanced Registered Nurse Practitioner (“ARNP”) or Physician Assistant (“PA”). This is a Medicare coding policy and payment methodology authorized by Florida Statute.How is it Authorized?Florida Statute §627.736(5)(a)(1) authorizes an insurer to limit reimbursement to 80% of the schedule of maximum charges. Subparagraphs […]

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