On March 23, 2010, President Obama signed into law the Patient
Protection and Affordable Care Act.  One week later, on March 30, the
President also signed into law the Health Care and Education
Reconciliation Act of 2010.  These two new laws have a significant
impact on the Medicare program and many of the provisions have effective
dates prior to this point in time.  Over the past several weeks, the
Centers for Medicare & Medicaid Services (CMS) has begun implementing
various provisions of the new laws, including those with past effective
dates.  In addition to implementing these legislative changes, the
Medicare Physician Fee Schedule is being updated to include certain
corrections, retroactive to January 1, 2010, as prescribed in recently
published notices in the Federal Register.

 

Once Medicare contractors have the new payment files in place, per the
above, all claims going forward will be processed at the revised rates.
However, we continue to work on the best way to address the many claims
that are paid at the rates that were in place before the current
corrections and updates are made.   Please be on the alert for further
information about how CMS will address past claims.  Until then,
providers should NOT resubmit previously-processed claims affected by
the payment changes, as it is likely that these resubmissions may be
denied as duplicate claims.

 

 

 

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Please DO NOT respond to this email. This email is a service of CMS and
routed through an electronic mail server to communicate Medicare policy
and operational changes and/or updates. Responses to this email are not
routed to CMS personnel. Inquiries may be sent by going to
(http://www.cms.hhs.gov/ContactCMS <http://www.cms.hhs.gov/ContactCMS>
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