CMS announcement on 2013 Claims Processing

January 14, 2013

This just in from our friends at CMS.  In summary, expect lower Medicare payments in January 2013.   Here is their official statement:  “In order to allow sufficient time to develop, test, and implement the revised MPFS, Medicare claims administration contractors may hold MPFS claims with January 2013 dates of service for up to 10 business days (i.e., through January 15, 2013).  We expect these claims to be released into processing no later than January 16, 2013.  The claim hold should have minimal impact on physician/practitioner cash flow because, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 for paper claims) after the date of receipt.  Claims with dates of service prior to January 1, 2013, are unaffected.  Medicare claims administration contractors will be posting the MPFS payment rates on their websites no later than January 23, 2013.”

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