Holding April 2014 Claims Paid Under MPFS

The 2014 Medicare Physician Fee Schedule (MPFS) final rule provided a negative update to the MPFS that was to be effective January 1, 2014. However, the reduction was “averted for three months with the passage of the Pathway for SGR Reform Act of 2013, which provided for a 0.5 percent update for services paid under the MPFS through March 31, 2014.”

CMS hopes that there will be congressional action to prevent the negative update from taking effect on April 1, 2014. CMS has also instructed Medicare Administrative Contractors to “hold claims containing services paid under the MPFS for the first 10 business days of April (i.e. through April 14, 2014). This hold would only affect MPFS claims with dates of service of April 1, 2014, and later.”

Click here to read more from CMS

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One thought on “Holding April 2014 Claims Paid Under MPFS

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