§ 8A-421. Definitions.  


Latest version.
  • (a)

    Applicant shall mean the owner or a person or persons authorized by the owner to complete a registration application to operate as a PIP Medical Provider in Miami-Dade County.

    (b)

    Department shall mean the Miami-Dade County Sustainability, Planning and Economic Enhancement Department or its successor department.

    (c)

    Operating as a Personal Injury Protection Medical Provider, or Operation of a Personal Injury Protection Medical Provider or Operate as a Personal Injury Protection Medical Provider shall mean to conduct the affairs of or manage the operations of a Personal Injury Protection Medical Provider including, but not limited to, any one or more of the following:

    (1)

    Scheduling or accepting appointment(s) for services including, but not limited to, diagnosis, treatment, and/or therapy which are billed for payment to a PIP insurance provider;

    (2)

    Prescribing, dispensing, or administering any medicine, medical or physical treatment, medical or physical therapy, massage treatment or therapy, or acupuncture treatment or therapy;

    (3)

    Accepting payments from one or more PIP Insurance providers for any of the events listed in paragraphs (1) and (2) above; or

    (4)

    Employing or contracting with any person for compensation to work in connection with the provision of services for a PIP Medical Provider business.

    (d)

    Person shall mean an individual, partnership, corporation, association, or other legal entity.

    (e)

    Personal Injury Protection Medical Provider or PIP Medical Provider shall mean any person, clinic, facility, location, or other business that provides medical or physical therapy treatment to patients or clients claiming an injury from an automobile accident and which derives:

    (1)

    Ninety (90) percent or more of the PIP Medical Provider's monthly gross income from billing PIP Insurance providers; or

    (2)

    Two hundred thousand dollars ($200,000.00) or more in gross income during a twelve (12) month period from the billing of PIP Insurance providers.

    (f)

    Personal Injury Protection Medical Provider or PIP Medical Provider shall not mean any business or a facility:

    (1)

    Licensed as a facility pursuant to Chapter 395, Florida Statutes;

    (2)

    Where the majority of the physicians, who provide services in the facility, primarily provide surgical services for the facility;

    (3)

    Owned by a publicly held corporation whose shares are traded on a national exchange or on the over-the-counter market and whose total assets at the end of the corporation's most recent fiscal quarter exceeded fifty million dollars ($50,000,000.00);

    (4)

    Affiliated with an accredited Florida medical school for the education of physicians licensed under Chapter 458, 459, or 460 of the Florida Statutes, at which training is provided for medical, osteopathic, or chiropractic students, residents, or fellows;

    (5)

    Owned by a corporate entity exempt from federal taxation under U.S.C. 501(c)(3) or (4);

    (6)

    That perform only magnetic resonance imaging, static radiographs, computed tomography, or position emission tomography; or

    (7)

    Accredited by the Joint Commission as an Outpatient/Ambulatory Care clinic.

    (g)

    Physical Therapy shall mean any type of massage therapy provided in response to a doctor's prescription or direction.

    (h)

    PIP shall mean personal injury protection.

    (i)

    PIP Insurance shall mean personal injury protection insurance.

(Ord. No. 12-08, § 2, 2-21-12)