BC Advantage - 2025 Issue 10

Medicare Has Revised Its Ten-Day Claims Hold Due to the Government Shutdown

<p>When the federal government shutdown began on October 1, 2025, the Centers for Medicare and Medicaid Services (CMS) directed all Medicare Administrative Contractors (MACs) to implement a temporary claims hold of up to 10 business days to ensure that Medicare payments would be accurate and consistent with statutory requirements. CMS has now <a href="https://www.cms.gov/medicare/payment/fee-for-service-providers" target="_blank" rel="noopener">revised its instructions </a> to limit the claims hold only to those “services impacted by the expired Medicare legislative payment provisions passed under the Full-Year Continuing Appropriations and Extensions Act, 2025.”</p> <p>...

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