E/M Coding Alert - 2015 Issue 12
Part B Payment: Senate Takes Recess Before Voting on SGR Reform
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Article Overview
This news article explains the status of a Medicare payment reform bill as Congress paused before final Senate action, and describes how CMS responded by temporarily holding Part B claims for services with dates of service on or after April 1. It is relevant to physicians, billing staff, and other Medicare providers who need to understand the near-term payment environment, congressional action, and CMS operational guidance related to the Sustainable Growth Rate (SGR) issue.
Why This Topic Matters
It helps Medicare providers understand why Part B claims may be held, what federal action was pending, and why payment timing could be disrupted during the legislative process.
What You Will Learn
- Why Medicare Part B reimbursement was facing uncertainty during the congressional recess
- How CMS responded operationally to pending payment reform action
- What broad issues were associated with the Medicare payment reform bill and SGR discussions
- Who was affected by the temporary claims-hold situation
Who Should Read This
- Physicians
- Medical billing staff
- Practice administrators
- Medicare providers
- Revenue cycle professionals
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