Medicare claim and payment delays
Thursday, Jan 26, 2012 - 04:44:56 PM
Update 1/26: Medicare is still working to process all the claims submitted between 1/1 – 1/10, please do not re-send these claims as it will result in a duplicate denial. We are monitoring the progress and will post updates here. On December 23, 2011, President Obama signed the “Temporary Payroll Tax Cut Continuation Act of 2011”. The Act prevents a scheduled payment cut for Medicare physicians and other providers from taking effect immediately. • January 1, 2012 through February 29, 2012: Medicare charges incurred during this period are subject to a 0% fee schedule increase. • Claims incurred during the first 10 business days of January, 2012 will be held by Medicare contractors while the Medicare Physician Fee Schedule (MPFS) adjustment is tested and implemented. • By January 18, 2012, CMS anticipates that all held claims will be released. • The payment cut may take effect on March 1, 2012 based on results of the debate between the President and Congress • The Medicare Part B deductible is decreased to $140. Thank You, Kareo Support Team
by KareoSupport
3 comments
Stephanie said:
Were all held claims released on January 18th as this says, or does this mean that they are still being held by Medicare?
Friday, Jan 27, 2012 - 07:40:25 AM
barry wakefield said:
WE haven't been paid for the last 2 weeks in december although we have received confirmation prior to january 1 that the claims were received. Should these batches be re-sent? Also Medicare has built in new edits to their claim processing causing many of mine to be rejected even though we are billing the same way as in 2011
Monday, Feb 6, 2012 - 06:56:11 AM
Nicole Castro said:
I highly recommend verifying directly with Medicare that your claims submitted during the testing of v5010 (Dec 2011 - present) are being received and not rely only on the clearinghouse feedback reports.
Friday, Feb 17, 2012 - 07:36:30 AM