Medicare To Hold Claims Through June 14th

By: Bellinger P. Moody, RHIA, CPC, CCP, CPC-I
Executive Vice President of Compliance

Yesterday, June 1, 2010 was the proposed date that the 2010 Medicare physician pay cut (21.2 %) was to go into effect.  This pay cut will not go into effect as Congress in looking to pass legislation that will give providers a 1.3% increase for now and put off solving the Sustainable Growth Rate (SGR) problem until some time in 2014. 

In light of this recent development, CMS has announced that it will hold claims for services provided on June 1 through June 10th  so as to provide Congress time to pass legislation that would put off the SGR cut.  THEREFORE, CMS WILL HOLD CLAIMS PROCESSING THROUGH JUNE 14TH FOR ALL DATES OF SERVICE BETWEEN June 1 and June 10, 2010.  The Senate will return on June 7th and hopefully this issue will be resolved during the next session.

The information presented herein reflects general information that is current as of the date it is first published.  In light of changes that may occur in the health care regulatory and compliance environments, the author's presentation of this information and any general advice previously published might become outdated.  Please check with your individual legal and/or compliance advisor(s) prior to taking any significant actions based upon the information and advice presented.