G.L., APPELLANT,

v.

DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, APPELLEE

Citator

Cited By

• Alford v. G. Pierce Woods Mem'l Hosp. & State of Florida/Division of Risk Mgmt., 621 So. 2d 1380 (Fla. 1st DCA 1993)
  …whether the requested care is reasonable and necessary. Moreover, it appears that in common practice only those physicians of the same community as the physician whose services are reviewed serve on review committees. See, e.g., Lamounette v. Akins, 547 So. 2d 1001, 1002 (Fla. 1st DCA 1989) (to determine whether chiropractic physician over utilized services he rendered to the injured employee, the physician’s records were submitted to the Chiropractic Peer Review Committee). My interpretation of section 440.1…
• Wolk v. Jaylen Homes, Inc., 593 So. 2d 1058 (Fla. 1st DCA 1992)
  …comply with the utilization review procedures prescribed by section 440.13(4)(d)1, Florida Statutes. In this regard, employer/carrier’s reliance on Carswell, Atlantic Foundation v. Gurlacz, 582 So. 2d 10 (Fla.1st DCA 1991), and Lamounette v. Akins, 547 So. 2d 1001 (Fla. 1st DCA 1989), is misplaced. Those cases involved resolution of disputes concerning the amount of medical bills submitted by medical providers, and allegations of gouging. The statute contemplates that such disputes are to be decided by the di…
• Emerson Williams v. Triple J Enters. & Erc, Inc., 650 So. 2d 1114 (Fla. 1st DCA 1995)
  …esolved by the utilization review process are reimbursement of the health care provider for services rendered, and repayment by the health care provider to the carrier for services improperly or unnecessarily rendered. See e.g., Lamounette v. Akins, 547 So. 2d 1001 (Fla. 1st DCA 1989); § 440.13(4)(a), Fla.Stat. (1989) (“Reimbursement for all fees and other charges for such treatment, care, and attendance, including treatment, care, and attendance provided by any hospital or other health care provider shall not…