Wednesday, January 7, 2015

CMS Holding Part B 2015 Date-of-Service Claims To correct Fee Schedule Errors


Dan Ciolek

On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register but contained technical errors. Last week, the Centers for Medicare and Medicaid Services (CMS) announced that, in order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors (MACs) will hold claims containing 2015 services paid under the MPFS for the first 14 calendar days of January 2015 (i.e., Thursday January 1 through Wednesday January 14). The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt.

MPFS claims for services rendered on or before Wednesday Dec 31, 2014 are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames.

See related article (here) to access the updated AHCA therapy fee schedule file.

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