CMS Holds Claims With Expectation Congress Will Avert Sequester Cuts

Inside Health Policy
By Michelle M. Stein / March 30, 2021 at 6:08 PM
 
CMS will hold Medicare claims “for a short period” after April 1 so that providers don’t see the 2% Medicare sequestration cuts go into effect before lawmakers take final action to extend the moratorium on those cuts.
 
“In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow,” CMS said in a March 30 Medicare Learning Network announcement. “This will minimize the volume of claims the MACs must reprocess if Congress extends the suspension; the MACs will automatically reprocess any claims paid with the reduction applied if necessary.”
 
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