BC Advantage - 2021 Issue 4
ALERT - MACs to hold claims with dates of service on or after April 1, 2021
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Article Overview
This article covers a short Medicare claims-processing alert from CMS and the Medicare Administrative Contractors (MACs) related to a possible Congressional extension of the 2% sequester reduction suspension. It explains why claims with certain dates of service were being held, notes the related MLNConnects notice, and includes a brief legislative update. The piece is relevant to billing, reimbursement, compliance, and revenue cycle staff who monitor Medicare administrative changes.
Why This Topic Matters
Medicare claim holds can affect cash flow, timing of payment, and the administrative workload required to reprocess claims if legislation changes. This alert helps healthcare organizations track a federal payment policy update that may affect day-to-day claims management.
What You Will Learn
- Why Medicare claims were temporarily being held
- How CMS described the purpose of the claim hold
- What legislative update was noted in the article
- Which Medicare administrative entities were involved in the notice
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Revenue cycle managers
- Healthcare administrators
- Physician practice managers
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