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  6. Mark Steven Spangler
Mark Steven Spangler
Mark Steven Spangler
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Bar #872520(FL)     License for 35 years
Maitland FL

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03-003890  THE BISCAYNE INSTITUTE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2003)
Division of Administrative Hearings, Florida Filed: Oct. 21, 2003
Whether Petitioner is entitled under Florida’s workers’ compensation laws to payment for professional services to an injured worker for the billings identified by the three notices of disallowance at issue in this consolidated proceeding.Disallowance of payment for rehabilitation services that were not reasonable or medically necessary should be sustained.
03-001837  THE BISCAYNE INSTITUTE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2003)
Division of Administrative Hearings, Florida Filed: May 19, 2003
Whether Petitioner is entitled under Florida’s workers’ compensation laws to payment for professional services to an injured worker for the billings identified by the three notices of disallowance at issue in this consolidated proceeding.Disallowance of payment for rehabilitation services that were not reasonable or medically necessary should be sustained.
03-001838  THE BISCAYNE INSTITUTE vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2003)
Division of Administrative Hearings, Florida Filed: May 19, 2003
Whether Petitioner is entitled under Florida’s workers’ compensation laws to payment for professional services to an injured worker for the billings identified by the three notices of disallowance at issue in this consolidated proceeding.Disallowance of payment for rehabilitation services that were not reasonable or medically necessary should be sustained.
05-000926  HUBERTO E. MERAYO vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2005)
Division of Administrative Hearings, Florida Filed: Mar. 10, 2005
Whether Petitioner, a health care provider, filed a timely, valid petition with Respondent to challenge Intervenors’ disallowance of payment for certain dates of service to a workers’ compensation claimant.The correspondence from a workers` compensation provider was not a valid petition for Respondent to resolve a reimbursement dispute with the carrier.
01-004148  SPECIALTY RISK SERVICES vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2001)
Division of Administrative Hearings, Florida Filed: Oct. 24, 2001
The issues are (1) whether the "petition" filed by Debra Roggow, D.O., contesting the notices of disallowance sent to her by Petitioner complied with Section 440.13(7)(a), Florida Statutes; (2) whether Petitioner improperly disallowed payment for the dates of services set forth in the notices of disallowance; and (3) whether Petitioner is obligated to pay the fees of the expert medical advisors utilized by Respondent in conducting its review of Dr. Roggow's "petition."Petitioner properly disallowed payments to osteopathic physician for services which constituted over-utilization under Workers` Compensation law. Petitioner to pay fees of expert medical advisors, except those improperly selected by Agency.
01-004147  CNA INSURANCE COMPANIES vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2001)
Division of Administrative Hearings, Florida Filed: Oct. 24, 2001
The issues are (1) whether Petitioner improperly disallowed payment for the dates of service set forth in the notices of disallowance sent by Petitioner to the provider, Clay O. Selley, D.C., and (2) whether Petitioner is required to pay the fees of the expert medical advisors utilized by the Agency for Health Care Administration in conducting its review of Dr. Selley's challenge to the notices of disallowance.Petitioner properly disallowed payments to chiropractor because evidence failed to show services were medically necessary as required by Workers` Compensation Law. Petitioner required to pay fees of expert advisors used by Agency in review of this case.
00-002572  WYATT BROTHERS CONSTRUCTION & CNA INSURANCE COMPANY vs DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY, DIVISION OF WORKERS` COMPENSATION  (2000)
Division of Administrative Hearings, Florida Filed: Jun. 22, 2000
The issue is whether the claimant overutilized the services of Dr. Pamela J. Windham, a provider, in connection with services rendered on July 23 and August 10, 1999, in violation of Section 440.13(6) and (7), Florida Statutes.Worker`s Compensation Carrier`s failure to pay or deny a provider`s invoice within 45 days does not preclude carrier from resisting payment due to alleged over utilization of services.

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