First Coast Service Options (FCSO), Medicare’s Florida Medicare contractor, has recently updated the 2023 reimbursement allowable rates. A synopsis is available of the allowed reimbursements and limiting fees in Florida for the 3 reimbursable chiropractic services, in the 3 Medicare regions for Participating providers, NonParticipating providers accepting assignment and NonParticipating providers not accepting assignment. The allowable rates for 2022 are struck through, the “A” rates reflect the individually looked up codes and the “B” rates are from the data files.
This information may be found on the FCSO’s website https://medicare.fcso.com by looking up the individual codes or downloading the data files for all reimbursable codes. These data files may not be shared or disseminated due to copyright issues. The data files, however, are pertinent to understanding the PIP reimbursement limitations that are based primarily on 200% of the Medicare “participating” rates. In past years, the Medicare rates have changed between January and March. Subsequently the PIP law references the Medicare rates “in effect on March 1st of the service year the services were rendered” but are to be no lower than the Medicare rates for 2007. Sadly, the 2023 Medicare rates are lower than 2022. Also 2007 Medicare rates are lower than the 2023 rates. Accordingly, if your fees are based upon the Medicare rates, please remember to adjust them in your system.