Tuesday, December 30, 2014

Notice for Part B charges in a SNF for the first of the year 2015

This is from the email list serve for CMS MLN Connect Special Edition dated Monday, Dec 29, 2014.  I suspect the MACs will also post and disseminate it.

This applies to (among other things)  Part B therapy in a SNF.  The CPT codes for Part B are from the Physician's Fee Schedule:


Holding of 2015 Date-of-Service Claims for Services Paid Under the 2015 Medicare Physician Fee 


On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first 14 calendar days of January 2015 (i.e., Thursday January 1 through Wednesday January 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.

MPFS claims for services rendered on or before Wednesday Dec 31, 2014 are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames. 

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