Florida court backs reduction of insurer payments for chiropractor

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By Carolina Bolado (October 6, 2021, 8:13 p.m. EDT) – A Florida appeals court ruled on Wednesday that Progressive American Insurance Co. could use Medicare’s multiple-procedure payment reduction methodology to reimburse a chiropractor because the Florida Personal Injury Protection Act permits its use. limit reimbursements for chiropractic services.

Florida’s Fourth District Court of Appeals said a provision in state PIP law allows insurers to use the methodology – whereby Medicare will not pay for multiple procedures performed during a single home visit. the doctor, but will reimburse only the highest value procedure – even though Medicare would not reimburse chiropractors for these services.

The PIP law provides that an insurer who requests …

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