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SGR: Medicare Processing Will Forestall Cuts
HealthLeaders Media

The 21% “negative update” in Medicare reimbursement for physicians mandated by the Sustainable Growth Rate funding formula goes into effect on Wednesday, but physicians will have another two weeks of lag time to account for processing before the cuts take place, according to the Centers for Medicare & Medicaid Services.

“The Administration urges Congress to take action to ensure these cuts do not take effect,” CMS said this week in an advisory to physicians. “However, until that happens, CMS must take steps to implement the negative update. Under current law, electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt. CMS will notify you on or before April 11, 2015, with more information about the status of Congressional action to avert the negative update and next steps.”