Fla. Court Backs Insurer Payment Reduction For Chiropractor

By Carolina Bolado (October 6, 2021, 8:13 PM EDT) -- A Florida appeals court ruled Wednesday that Progressive American Insurance Co. can use Medicare's Multiple Procedure Payment Reduction methodology to reimburse a chiropractor because Florida's personal injury protection statute authorizes its use to limit reimbursements for chiropractic services.

Florida's Fourth District Court of Appeal said a provision within the state's PIP statute allows insurers to use the methodology — through which Medicare will not pay for multiple procedures performed during a single doctor's visit but will reimburse for just the highest-value procedure — even though Medicare would not reimburse chiropractors for those services.

The PIP law provides that an insurer applying...

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