It has been brought to our attention that physicians may have received conflicting reports about how Medicare claims for services provided on or after June 1, 2010, will be processed since Congress failed to send legislation to the President in time to avert implementation of the scheduled 21 percent payment cut. The AMA checked again today (June 21, 2010) with senior officials at the Centers for Medicare and Medicaid Services, and physician claims submitted for services provided in June are, in fact, being processed under the reduced payment rate on a rolling, first in/ first out basis. In other words, claims submitted earliest are now being paid at the reduced rate, while newer claims will continue to be held for a ten-day period until the President is able to sign legislation into law.
We still anticipate that whatever legislation is passed will apply retroactively to all services provided since June 1, and that claims that have already been processed will be adjusted automatically without physicians having to resubmit them.
We expect Congress to resolve the issue before the end of the week, and will keep you updated on new developments.
The NCMS is in daily contact with the NC Congressional Delegation and will be posting updates on this important issue on the Doctor-to-Doctor blog and in the Bulletin.