Information Regarding the Holding of April Claims for Services Paid
Under the 

2010 Medicare Physician Fee Schedule (3-26-2010)

 

The Centers for Medicare & Medicaid Services (CMS) is working with
Congress, health care providers, and the beneficiary community to avoid
disruption in the delivery of health care services and payment of claims
for physicians, non-physician practitioners, and other providers of
services paid under the Medicare Physician Fee Schedule (MPFS).  As you
are aware, the Temporary Extension Act of 2010, enacted on March 2,
2010, extended the zero percent (0%) update to the 2010 MPFS through
March 31, 2010.    

 

CMS believes Congress is working to avert the negative update that will
take effect April 1.  Consequently, CMS has instructed its contractors
to hold claims containing services paid under the MPFS (including
anesthesia services) for the first 10 business days of April.  This hold
will only affect claims with dates of service April 1, 2010, and
forward.  In addition, the hold should have minimum impact on provider
cash flow because, under the current law, clean electronic claims are
not paid any sooner than 14 calendar days (29 for paper claims) after
the date of receipt.  

Be on the alert for more information about the 2010 Medicare Physician
Fee Schedule Update.   

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