CHA News Article

Medicare Physician Fee Schedule Claims Held Until Jan. 14

To correct technical errors discovered after publication of the calendar year (CY) 2015 Medicare physician fee schedule (PFS) final rule and to process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the PFS for the first 14 calendar days of January 2015 (Jan. 1 – Jan. 14). The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt. PFS claims for services rendered on or before Dec. 31, 2014, are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames.