Fee Screens - Florida
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Florida State
Prevailing Fee Screens
Some providers are on Method 2, some on Method 4
(click here for HCFA billing methods 1 thru
4)
Nationwide, each January 1st, fee screen IICs for each HCPCS code are increased by the previous year CPI-U (Consumer Price Index - Urban), and this ranges from 1-3 percent unless there is either a freeze or some other congressional reduction. What this means to you is that each year your Medicare allowed amount for each charge (A0330 base rate, A0390 mileage, e.g.) you bill will be increased by the IIC percent increase. Your Medicare allowed amounts will be the lesser of your IICs or what you actually bill. For the fee screen years below, the percent increases are listed.
Florida 1999
(1.1% increase above 1998)
Code |
LOC 1 |
LOC 2 |
LOC 3 |
LOC 4 |
Description |
A0320 |
121.49 |
170.36 |
170.51 |
157.60 |
BLS BASE NE, SUP INCL, MILES BILLED SEPAR |
A0322 |
128.68 |
171.19 |
177.98 |
158.89 |
BLS BASE EMER, SUP INCL, MILES BILLED SEPAR |
A0324 |
250.92 |
293.21 |
299.56 |
292.95 |
ALS BASE NE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR |
A0326 |
259.52 |
298.54 |
299.56 |
292.95 |
ALS BASE NE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR |
A0328 |
259.52 |
298.54 |
299.56 |
292.95 |
ALS BASE EMER NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR |
A0330 |
259.52 |
298.54 |
299.56 |
292.95 |
ALS BASE EMER SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR |
A0380 |
4.12 |
4.72 |
6.12 |
6.86 |
BLS MILEAGE PER MILE |
A0390 |
4.12 |
4.72 |
6.12 |
6.86 |
ALS MILEAGE PER MILE |
A0420 |
15.88 |
15.88 |
15.88 |
15.88 |
Wait Time per unit (1/2 hour)-1st unit does not count--Medicare reduces billed units by 1 |
LOC=Locality
Note: The prevailing fees (IICs) listed above for these procedures represent the maximum
allowances for the indicated procedures. However, the actual allowance for a
particular provider may be lower based on their individual customaries or the billed
amounts.
Florida 1998
(1.3% increase above 1997)
Florida 1997
(2.8% increase above 1996)
Code |
LOC 1 |
LOC 2 |
LOC 3 |
LOC 4 |
A0320 |
118.63 |
166.35 |
166.49 |
153.89 |
A0322 |
125.65 |
167.16 |
173.78 |
155.14 |
A0324 |
245.00 |
286.30 |
292.50 |
286.04 |
A0326 |
253.41 |
291.50 |
292.50 |
286.04 |
A0328 |
253.41 |
291.50 |
292.50 |
286.04 |
A0330 |
253.41 |
291.50 |
292.50 |
286.04 |
A0380 |
4.03 |
4.61 |
5.97 |
6.70 |
A0390 |
4.03 |
4.61 |
5.97 |
6.70 |
A0420 |
15.88 |
15.88 |
15.88 |
15.88 |
A0422 |
NC |
NC |
NC |
NC |
A0424 |
IC |
IC |
IC |
IC |
A0888 |
NC |
NC |
NC |
NC |
A0999 |
IC |
IC |
IC |
IC |
LOC=Locality IC =
Individual Consideration NC = Non-covered
Maximum Reimbursements (IICs)
Florida 1996
(3.0% increase above 1995)
Florida 1995
Code |
LOCALITY 1 |
LOCALITY 2 |
LOCALITY 3 |
LOCALITY 4 |
A0010 |
113.97 |
152.39 |
161.09 |
142.53 |
A0020 |
3.81 |
4.35 |
5.92 |
6.33 |
A0060 |
15.00 |
15.00 |
15.00 |
15.00 |
A0070 |
20.50 |
29.23 |
23.86 |
21.12 |
A0150 |
108.84 |
152.39 |
153.85 |
142.53 |
A0215 |
NC |
NC |
NC |
NC |
A0220 |
223.14 |
256.02 |
256.02 |
250.00 |
A0221 |
3.81 |
4.35 |
5.92 |
6.33 |
A0320 |
112.04 |
157.11 |
157.24 |
145.34 |
A0322 |
118.67 |
157.87 |
164.13 |
146.51 |
A0324 |
239.33 |
275.30 |
276.24 |
270.15 |
A0326 |
239.33 |
275.30 |
276.24 |
270.15 |
A0328 |
239.33 |
275.30 |
276.24 |
270.15 |
A0330 |
239.33 |
275.30 |
276.24 |
270.15 |
A0380 |
3.81 |
4.35 |
5.92 |
6.33 |
A0390 |
3.81 |
4.35 |
5.92 |
6.33 |
A0420 |
15.00 |
15.00 |
15.00 |
15.00 |
A0422 |
20.50 |
29.23 |
23.86 |
21.12 |
A0424 |
IC |
IC |
IC |
IC |
A0888 |
NC |
NC |
NC |
NC |
A0999 |
IC |
IC |
IC |
IC |
Florida 1994
Code |
50th% |
75th% |
IIC |
A0010 |
149.35 |
180.00 |
139.02 |
A0020 |
5.25 |
5.38 |
4.98 |
A0070 |
23.70 |
24.25 |
23.25 |
A0150 |
152.50 |
158.19 |
136.00 |
A0215 |
NC |
NC |
NC |
A0220 |
240.85 |
272.50 |
241.76 |
A0221 |
5.13 |
5.55 |
4.98 |
A0222 |
150.00 |
170.00 |
120.94 |
A0223 |
NC |
NC |
NC |
Content adapted from the CES EMS Fast Cash Billing Manual on ces-web.com. For support call (706) 882-4704 or email mail@ces-web.com.