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HCP Violations

An HCP violation is defined as a Provider’s non-compliance with Chapter 440, F.S. and Division rules, which shall include:

  • Failing to submit medical records and reports pursuant to s. 440.13(4)(a) and (c), F.S.;
  • Failing to refund an overpayment of reimbursement, pursuant to s. 440.13(11)(a), F.S.; collecting or receiving payment from an injured employee in violation of s. 440.13(14)(a), F.S.;
  • Failing to follow standards of care, pursuant to s. 440.13(16), F.S., including overutilization of services; or
  • Improper billing or failing to comply with the Division’s billing and reporting requirements pursuant to Rule 69L-7.602, Florida Administrative Code (F.A.C.), and the applicable reimbursement manual(s).
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