The fees in question are the administrative portion of the charge. BD
A jury has ordered Blue Cross and Blue Shield of Florida to pay $1.5 million due to a decision its Health Options HMO made eight years ago to stop paying hospital pathologists for certain parts of their work. The company said it plans to appeal. That work involves supervising and interpreting tests. The actual technical payment - which includes the hospital's labs and equipment - is separate.
Ervin A. Gonzalez, attorney for Florida Pathology Services, filed suit against the health insurer in Miami-Dade County's 11th Circuit Court on behalf of Palmetto General Hospital and Coral Gables Hospital. Gonzalez is currently representing 11 other hospital pathology groups around the state - all individually scheduled for trial this year before the same judge who presided over the just-completed trial in Miami.
The doctors need to get paid for supervising and interpreting lab results," he said. "If they don't get paid, the health care system will begin seeing an increase in negligence and a decrease in physicians who are willing to work in Florida. The patient will ultimately be the one that loses."The law will impact all cases in Florida and other states with similar cases."
HMO to appeal order to pay doctors $1.5M in back fees - Dallas Business Journal:
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