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  6. Mari Helen McCully
Mari Helen McCully
Mari Helen McCully
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Bar #934852(FL)     License for 32 years; Member in Good Standing
Tallahassee FL

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13-002940  FLORISTS MUTUAL INSURANCE COMPANY vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2013)
Division of Administrative Hearings, Florida Filed: Aug. 06, 2013
The issue to be determined is whether the doctrine of equitable tolling should excuse the late filing of a Petition for Administrative Hearing filed with Respondent by Petitioner Florists Mutual Insurance Company.Late delivery of Petition by U.S. Postal Service did not prevent Petitioner from asserting its rights in some extraordinary way, so as to warrant application of equitable tolling.
12-002583  HIALEAH HOSPITAL vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2012)
Division of Administrative Hearings, Florida Filed: Aug. 01, 2012
The issue is whether Respondent properly dismissed Petitioner's Petition for Resolution of Workers' Compensation Reimbursement Dispute, pursuant to section 440.13(7), Florida Statutes.If injury not determined to be compensable, ALJ lacks jurisdiction to determine if carrier properly disallowed claim for reimbursement from health care provider.
12-002499  FFVA MUTUAL INSURANCE COMPANY vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2012)
Division of Administrative Hearings, Florida Filed: Jul. 19, 2012
The issue is whether FFVA Mutual Insurance Company (FFVA) should be required to pay an additional $4,169.00 (for a total of $13,155.60) to a health care provider for a pre-authorized scheduled outpatient surgery.Petitioner failed to prove that its reimbursement to a health care provider was appropriate.
12-001065  FFVA MUTUAL INSURANCE COMPANY vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2012)
Division of Administrative Hearings, Florida Filed: Mar. 21, 2012
The issue in this case is whether the Petitioner should be required to pay $300 as workers' compensation reimbursement for medical services provided to a patient.Hospital is entitled to reimbursement for charges related to services provided at their outpatient clinic.
10-010210  NORTHSIDE HOSPITAL AND HEART INSTITUTE vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2010)
Division of Administrative Hearings, Florida Filed: Nov. 12, 2010
Whether $2,557.95, in charges submitted by Petitioner for payment, were improperly disallowed by the carrier pursuant to section 440.13, Florida Statutes (2009).1/Petitioner failed to satisfy its burden of proving that $2,557.95 in charges submitted for payment was improperly disallowed by the carrier pursuant to section 440.13, Florida Statutes.
09-006871  MACY'S CLAIMS SERVICES AND QMEDTRIX SYSTEMS, INC. vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2009)
Division of Administrative Hearings, Florida Filed: Dec. 18, 2009
Whether Florida Hospital Medical Center is entitled to reimbursement in the amount preliminarily determined by the Department of Financial Services, Division of Workers’ Compensation, in a reimbursement dispute regarding bills submitted by Florida Hospital Medical Center to Macy’s Claims Services and Amerisure Mutual Insurance Company for medical services provided to two individuals involved in work-related accidents; and Whether Macy’s Claims Services and Amerisure Mutual Insurance Company properly adjusted those bills of Florida Hospital Medical Center in accordance with the requirements of Florida’s Workers’ Compensation law and applicable rules.Respondent and Intervenor established proper billing methodology was used and that reimbursement for hospital care given to injured workers should be in accordance with agency's historical interpretation of Florida's workman compensation law and rules.
09-006872  AMERISURE MUTUAL INSURANCE COMPANY AND QMEDTRIX SYSTEMS, INC. vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2009)
Division of Administrative Hearings, Florida Filed: Dec. 18, 2009
Whether Florida Hospital Medical Center is entitled to reimbursement in the amount preliminarily determined by the Department of Financial Services, Division of Workers’ Compensation, in a reimbursement dispute regarding bills submitted by Florida Hospital Medical Center to Macy’s Claims Services and Amerisure Mutual Insurance Company for medical services provided to two individuals involved in work-related accidents; and Whether Macy’s Claims Services and Amerisure Mutual Insurance Company properly adjusted those bills of Florida Hospital Medical Center in accordance with the requirements of Florida’s Workers’ Compensation law and applicable rules.Respondent and Intervenor established proper billing methodology was used and that reimbursement for hospital care given to injured workers should be in accordance with agency's historical interpretation of Florida's workman compensation law and rules.
09-006875  GUARANTEE INSURANCE COMPANY vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2009)
Division of Administrative Hearings, Florida Filed: Dec. 18, 2009
The issue is what is the correct amount of workers’ compensation reimbursement to Largo Medical Center for emergency services rendered to patient M.C. for a work-related injury?Respondent and Intervenor established that the proper billing code was used, consistent with the agency's long-standing interpretation of its rule.
09-006876  GUARANTEE INSURANCE COMPANY vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2009)
Division of Administrative Hearings, Florida Filed: Dec. 18, 2009
The issue is what is the correct amount of workers’ compensation reimbursement to Aventura Medical Center for emergency services rendered to patient J.R. for a work-related injury?Respondent and Intervenor established that the proper billing code was used, consistent with the agency's long-standing interpretation of its rule.
09-006877  DOLLAR GENERAL vs DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS' COMPENSATION  (2009)
Division of Administrative Hearings, Florida Filed: Dec. 18, 2009
The issue is what is the correct amount of workers’ compensation reimbursement to Oak Hill Hospital for emergency services rendered to patient J.M. for a work-related injury?Respondent and Intervenor established that the proper billing code was used, consistent with the agency's long-standing interpretation of its rule.

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